Parent Of Youth Baseline Survey Participants

Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign

OMB: 0910-0753

IC ID: 208712

Documents and Forms
Document Name
Document Type
Other-Email Reminder 3 ExPECTT
Other-Parent Screener and Instrument
Other-Lead Letter (male rural smokel
Other-Lead Letter ExPECTT 1
Other-Lead Letter ExPECTT 2
Other-Survey Invitation Email ExPECT
Other-Survey Invitation Email (male
Other-Email Reminder 1 ExPECTT
Other-Mail Reminder 2ExPECTT
Other-Parent Guardian Instrument ExP
Other-Introduction to Study
Other-Study Description
Other-Q&As about the ExPECTT Evaluat
Other-Questions and Answers (male ru
Other-Telephone Verification Survey
Other-Field Interviewer Verification
Other-Notifications ExPECTT
Other-Panel Maintenance ExPECTT
Other-Panel Maintenance Letter ExPEC
Other-Panel Maintenance Letter (male
Other-Panel_Maint_Update_Form (male
Other-Notifications (male rural smok
Other-Panel Maintenance Email (male
Other-Email_Reminder 1 (male rural s
Other-Email_Reminder 2 (male rural s
Other-Email_Reminder 3 (male rural s
Other-Post Card Reminder Notice
Other-Text Message for Non-responder
Other-Email Reminder 3 ExPECTT 1st a
Other-Email Reminder 3 ExPECTT 3rd F
Other-Parent Guardian Consent
Other-Lead Letter ExPECTT 2 - 1st an
Other-Lead Letter ExPECTT 2 - 3rd FU
Other-Email Reminder 1 ExPECTT (2) 1
Other-Email Reminder 1 ExPECTT (2) 3
Other-Survey Invitation-email ExPECT
Other-Survey Invitation-email ExPECT
Other-Email Reminder2 ExPECTT (2) 1s
Other-Email Reminder 2 ExPECTT (2) 3
Other-Reminder Letter
Information Collection (IC) Details

View Information Collection (IC)

Parent Of Youth Baseline Survey Participants
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Email Reminder 3 ExPECTT Attachment 21_E1. Email_reminder3_ExPECTT.doc Yes No Printable Only
Other-Parent Screener and Instrument (male rural smokeless) Attachment 3_Parent Screener and Instrument (male rural smokeless) 0910-0753.docx Yes Yes Fillable Fileable
Other-Lead Letter (male rural smokeless) Attachment 10_R. Lead Letter (male rural smokeless) FU4.docx No   Paper Only
Other-Lead Letter ExPECTT 1 Attachment 10_E1. Lead Letter ExPECTT.doc No   Paper Only
Other-Lead Letter ExPECTT 2 Attachment 10_E2d Lead Letter ExPECTT II 1st and 2nd FU Clean.docx No   Paper Only
Other-Survey Invitation Email ExPECTT Attachment 18_E1. Survey_invitation_email_ExPECTT.doc No   Printable Only
Other-Survey Invitation Email (male rural smokeless) Attachment 18_R. Survey Invitation Email (male rural smokeless).docx No   Printable Only
Other-Email Reminder 1 ExPECTT Attachment 19_E1. Email_reminder1_ExPECTT.doc Yes No Printable Only
Other-Mail Reminder 2ExPECTT Attachment 20_E1. mail_reminder2_ExPECTT.doc No   Paper Only
Other-Parent Guardian Instrument ExPECTT Attachment 3_E2c. Parent or Guardian Instrument.doc Yes Yes Fillable Fileable
Other-Introduction to Study Attachment 7_E2. Introduction to Study.doc Yes No Printable Only
Other-Study Description Attachment 8_E2a Study description Clean.docx No   Printable Only
Other-Q&As about the ExPECTT Evaluation Attachment 11_E2a Q&As about the ExPECTT Clean.docx No   Paper Only
Other-Questions and Answers (male rural smokeless) Attachment 11_R. Questions and Answers (male rural smokeless) FU4.docx Yes No Printable Only
Other-Telephone Verification Survey ExPECTT Attachment 12_E2a Telephone Verification Survey Clean.docx No   Printable Only
Other-Field Interviewer Verification (male rural smokeless) Attachment 12_R. Field Interviewer Verification (male rural smokeless) FU4.docx No   Printable Only
Other-Notifications ExPECTT Attachment 13_E2a Notifications ExPECTT Clean.docx No   Paper Only
Other-Panel Maintenance ExPECTT Attachment 15_E1. Panel Maintenance ExPECTT.docx No   Paper Only
Other-Panel Maintenance Letter ExPECTT Attachment 15_E2a Panel Maintenance Letter ExPECTT Clean.docx No   Paper Only
Other-Panel Maintenance Letter (male rural smokeless) Attachment 15_R. Panel Maintenance Letter (male rural smokeless) FU4.docx No   Paper Only
Other-Panel_Maint_Update_Form (male rural smokeless) Attachment 16_R. Panel_Maint_Update_Form (male rural smokeless) FU4.docx No   Paper Only
Other-Email_Reminder 2 (male rural smokeless) Attachment 20_R. Email_Reminder 2 (male rural smokeless) FU4.docx Yes No Printable Only
Other-Email_Reminder 3 (male rural smokeless) Attachment 21_R. Email_Reminder 3 (male rural smokeless) FU4.docx Yes No Printable Only
Other-Post Card Reminder Notice Attachment 36_R. Post_Card_Reminder_Notice FU4.docx No   Paper Only
Other-Text Message for Non-responders Attachment 37_R. Text Message for Non-responders FU4.docx Yes No Printable Only
Other-Email Reminder 3 ExPECTT 1st and 2nd FU Attachment 21_E2c Email Reminder 3 ExPECTT 1st and 2nd FU Clean.docx Yes No Printable Only
Other-Email Reminder 3 ExPECTT 3rd FU Attachment 21_E2b. Email_reminder3 ExPECTT 3rd FU.docx Yes No Printable Only
Other-Parent Guardian Consent Attachment 6_E2e. Parent Guardian Consent.docx Yes No Printable Only
Other-Lead Letter ExPECTT 2 - 1st and 2nd FU Attachment 10_E2b. Lead Letter ExPECTT 1st and 2nd FU.docx Yes No Printable Only
Other-Lead Letter ExPECTT 2 - 3rd FU Attachment 10_E2c. Lead Letter ExPECTT 3rd FU.docx Yes No Printable Only
Other-Email Reminder 1 ExPECTT (2) 1st and 2nd FU Attachment 19_E2d Reminder_Email 1 ExPECTT 1st and 2nd FU Clean.docx Yes No Printable Only
Other-Email Reminder 1 ExPECTT (2) 3rd FU Attachment 19_E2b. Email_reminder1 ExPECTT 3rd FU.docx Yes No Printable Only
Other-Survey Invitation-email ExPECTT (2) 1st and 2nd FU Attachment 18_E2c Survey Invitation Email ExpECTT 1st and 2nd FU Clean.docx Yes No Printable Only
Other-Survey Invitation-email ExPECTT (2) 3rd FU Attachment 18_E2b. Survey_invitation-email ExPECTT 3rd FU.docx Yes No Printable Only
Other-Email Reminder2 ExPECTT (2) 1st and 2nd FU Attachment 20_E2c. Email_reminder2 ExPECTT 1st and 2nd FU Clean.docx Yes No Printable Only
Other-Email Reminder 2 ExPECTT (2) 3rd FU Attachment 20_E2b. Email_reminder2 ExPECTT 3rd FU.docx Yes No Printable Only
Other-Reminder Letter Attachment 22. Reminder Letter ExPECTT II 1st and 2nd V1_NEW.docx No   Paper Only
Other-Notifications (male rural smokeless) Attachment 14_R. Notifications (male rural smokeless) FU4.docx No   Paper Only
Other-Panel Maintenance Email (male rural smokeless) Attachment 22_R. Panel Maintenance Email (male rural smokeless) FU4.docx Yes No Printable Only
Other-Email_Reminder 1 (male rural smokeless) Attachment 19_R. Email_Reminder 1 (male rural smokeless) FU4.docx Yes No Printable Only

Health Consumer Health and Safety

 

6,009 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 6,009 0 0 0 0 6,009
Annual IC Time Burden (Hours) 1,022 0 0 0 0 1,022
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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