General population – outcome screener (social media)

Food and Drug Administration's Research and Evaluation Survey for the Public Education Campaign on Tobacco among LGBT (RESPECT)

OMB: 0910-0808

IC ID: 218384

Documents and Forms
Document Name
Document Type
Other-Screener Informed Consent
Other-Screener
Information Collection (IC) Details

View Information Collection (IC)

General population – outcome screener (social media)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Informed Consent Attachment 5 CrossSectional Screener Inf Con FU3.docx Yes Yes Fillable Fileable
Other-Screener Attachment 03 New Participant Screener_FU5.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

3,083 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,083 0 0 456 0 2,627
Annual IC Time Burden (Hours) 256 0 0 39 0 217
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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