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Federal forms, ICRs, and supporting documents

Information Collection

Creative Concept Testing Designed to Prevent Youth ENDS Use in General and Hip Hop Audiences

IC 236392 under ICR 202007-0910-005 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Parental Permission Form
Other-Youth Assent Form
Other-Screener
Other-Screener Contact Sheet
Other-Discussion Guide
Other-Products Board
Other-Concept Rating Sheet
Other-Concept Ranking Sheet
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Creative Concept Testing Designed to Prevent Youth ENDS Use in General and Hip Hop Audiences CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Contact Sheet App C2.docx Yes Yes Fillable Printable
Other-Discussion Guide App D1.doc No   Printable Only
Other-Products Board App D2.docx Yes No Fillable Printable
Other-Concept Rating Sheet App E.docx No   Paper Only
Other-Concept Ranking Sheet App F.docx No   Paper Only
Other-Parental Permission Form App A.docx Yes Yes Fillable Printable
Other-Youth Assent Form App B.docx Yes Yes Fillable Printable
Other-Screener App C1.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

1,620 0
   
Individuals or Households
 
   0 %

  Requested 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 1,620 0 0 0 0 1,620
Annual IC Time Burden (Hours) 649 0 0 0 0 649
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification Memo Memo.docx 06/10/2019
Focus Group Stimuli Focus Group Stimuli sources w image_OMB R&E Clean.docx 06/28/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.