Adult - Pretest

Experimental Study of Cigarette Warnings

Documents and Forms

Document Name Document Type
Session 1 Survey.docx Other-Session 1 Survey
Session 2 Survey.docx Other-Session 2 Survey
Session 3 Survey.docx Other-Session 3 Survey

Information Collection (IC) Details

IC Title:	Adult - Pretest	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Session 1 Survey	Session 1 Survey.docx	Yes	Yes	Fillable Fileable Signable
Other-Session 2 Survey	Session 2 Survey.docx	Yes	Yes	Fillable Fileable Signable
Other-Session 3 Survey	Session 3 Survey.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 68	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	68	68
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.