Electronic Nicotine Delivery Systems Formative Data Collection to Inform Experimenter and Established User Definitions

Generic Clearance for the Collection of Quantitative Data on Tobacco Products and Communications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0810 can be found here:

Documents and Forms

Document Name Document Type
Attachment A SurveyENDS_StudyScreener.docx Other-Study Screener
Attachment B SurveyENDS_Study Questionnaire.docx Other-Study Questionnaire
Attachment C SurveyENDS_ParentRecruitmentEmail.docx Other-Parental Recruitment Email
Attachment D SurveyENDS_ParentPermission.docx Other-Parent Permission
Attachment E SurveyENDS_YouthAssent.docx Other-Youth Assent
SS Part A ENDSPrimaryDataCollection.docx Supporting Statement Part A - Electronic Nicotine Delivery Systems IC Document
SS Part B ENDSPrimaryDataCollection.docx Supporting Statement Part B - Electronic Nicotine Delivery Systems IC Document
Attachment F ApprovalLetter_RTI-IRB_STUDY00020494_20494.pdf Approval Letter IC Document

Information Collection (IC) Details

IC Title:	Electronic Nicotine Delivery Systems Formative Data Collection to Inform Experimenter and Established User Definitions	Agency IC Tracking Number:	CTP

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-Study Screener	Attachment A SurveyENDS_StudyScreener.docx	Yes	No	Paper Only
Other-Study Questionnaire	Attachment B SurveyENDS_Study Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Parental Recruitment Email	Attachment C SurveyENDS_ParentRecruitmentEmail.docx	Yes	No	Paper Only
Other-Parent Permission	Attachment D SurveyENDS_ParentPermission.docx	Yes	No	Paper Only
Other-Youth Assent	Attachment E SurveyENDS_YouthAssent.docx	Yes	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,110	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,110	15,110
Annual IC Time Burden (Hours)	1,191	1,191
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A - Electronic Nicotine Delivery Systems	SS Part A ENDSPrimaryDataCollection.docx	03/12/2019
Supporting Statement Part B - Electronic Nicotine Delivery Systems	SS Part B ENDSPrimaryDataCollection.docx	03/12/2019
Approval Letter	Attachment F ApprovalLetter_RTI-IRB_STUDY00020494_20494.pdf	03/12/2019

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