OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Qualitative Research to Design Advertising to Encourage Quitting Among Adult Cigarette Smokers (SGM Population) (CTP

IC 239957 under ICR 202002-0910-001 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Consent Form - Virtual
Other-Consent Form - In Person
Other-Screener
Other-Screener Contact
Other-Discussion Guide
Other-Concept Rating
Other-Stimuli
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Qualitative Research to Design Advertising to Encourage Quitting Among Adult Cigarette Smokers (SGM Population) (CTP CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consent Form - Virtual Attachment A - Consent Form - Virtual.docx Yes Yes Fillable Fileable
Other-Consent Form - In Person Attachment A - Consent Form In-Person.docx Yes Yes Fillable Printable
Other-Screener Contact Attachment C -Screener Contact.docx Yes Yes Fillable Fileable
Other-Concept Rating Attachment E - Concept Rating.docx Yes Yes Fillable Fileable
Other-Stimuli Attachment F - Stimuli_SGM OMB 3.13.2020 Clean.docx Yes No Paper Only
Other-Discussion Guide Attachment D - Discussion Guide SGM OMB-3.13.20 Clean.docx Yes No Printable Only
Other-Screener Attachment B - Participant Screener SGM OMB 3.13.20 Clean.docx Yes No Paper Only

Health Consumer Health and Safety

 

600 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 600 0 600 0 0 0
Annual IC Time Burden (Hours) 450 0 450 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0796 OMB Approval Memo 0796 OMB Approval Memo for Research to Design Ad to Encourage Quitting Smoking (SGM Pop) 2020.docx 02/13/2020
IRB Approval Letter IRB Approval Letter 2020.pdf 02/13/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.