Youth Pre-Test – Outcome Survey

Evaluation of the Food and Drug Administration's 'Fresh Empire' Multicultural Youth Tobacco Prevention Campaign.

OMB: 0910-0788

IC ID: 215943

Documents and Forms
Document Name
Document Type
Other-Post Campaign Instrument
Other-Verification Call Script
Information Collection (IC) Details

View Information Collection (IC)

Youth Pre-Test – Outcome Survey
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Post Campaign Instrument Attachment 01_EFECT_Post_Campaign_Instrument_FU5.docx Yes Yes Fillable Printable
Other-Verification Call Script Attachment 17_Verification Call Script_Age 13-17_FU5.docx No   Paper Only

Health Consumer Health and Safety


2,194 0
Individuals or Households
   0 %

  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 2,194 0 0 0 0 2,194
Annual IC Time Burden (Hours) 1,097 0 0 0 0 1,097
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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