Adult - Main data collection

Experimental Study of Cigarette Warnings

Documents and Forms

Document Name Document Type
Adult Consent Session 1.docx Other-Adult Consent Session 1
Adult Consent Session 2.docx Other-Adult Consent Session 2
Adult Consent Session 3.docx Other-Adult Consent Session 3

Information Collection (IC) Details

IC Title:	Adult - Main data collection	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-Adult Consent Session 1	Adult Consent Session 1.docx	Yes	Yes	Fillable Fileable Signable
Other-Adult Consent Session 2	Adult Consent Session 2.docx	Yes	Yes	Fillable Fileable Signable
Other-Adult Consent Session 3	Adult Consent Session 3.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: 7,460	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	7,460	7,460
Annual IC Time Burden (Hours)	3,133	3,133
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.