LGBT young adults Outcome follow-up questionnaire (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: 218386

Documents and Forms
Document Name
Document Type
Other-Follow Up
Other-New Participant Informed Conse
Other-Returning Participant Informed
Information Collection (IC) Details

View Information Collection (IC)

LGBT young adults Outcome follow-up questionnaire (social media)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Follow Up Attachment 02 Survey Instrument Specs_FU6.docx Yes Yes Fillable Fileable
Other-New Participant Informed Consent Attachment 06a New Participant Survey Informed Consent_FU6.docx Yes Yes Fillable Printable
Other-Returning Participant Informed Consent Attachment 06b Returning Participant Survey Informed Consent_FU6.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

1,752 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 1,752 0 0 350 0 1,402
Annual IC Time Burden (Hours) 1,169 0 0 235 0 934
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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