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Federal forms, ICRs, and supporting documents

Information Collection

Creative Concept Testing Designed to Prevent Youth ENDS, Cigarette ad Other Tobacco Product

IC 238368 under ICR 202007-0910-005 · OMB 0910-0796.

Documents and Forms
Document Name
Document Type
Other-Parental Permission Form
Other-Youth Assent Form
Other-Participant Screener
Other-Screener Contact Sheet
Other-Moderator's Guide
Other-Concept Rating Sheet
Other-Concept Ranking Sheet
Other-Stimuli
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Creative Concept Testing Designed to Prevent Youth ENDS, Cigarette ad Other Tobacco Product CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Parental Permission Form Appendix A - Parental Permission Form.docx Yes Yes Fillable Printable
Other-Youth Assent Form Appendix B -Youth Assent Form.docx Yes Yes Fillable Printable
Other-Participant Screener Appendix C1 - Participant Screener.docx Yes Yes Fillable Printable
Other-Screener Contact Sheet Appendix C2 -Screener Contact Sheet.docx Yes Yes Fillable Printable
Other-Moderator's Guide Appendix D-Moderators Guide.doc No   Printable Only
Other-Concept Rating Sheet Appendix E - Concept Rating Sheet Clean.docx No   Paper Only
Other-Concept Ranking Sheet Appendix F - Concept Ranking Sheet.docx No   Paper Only
Other-Stimuli Attachment G - Stimuli Global.docx Yes No Printable Only

Health Consumer Health and Safety

 

8,100 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 8,100 0 0 0 0 8,100
Annual IC Time Burden (Hours) 3,511 0 0 0 0 3,511
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo OMB Approval Memo for Creative Concept Testing 2019.docx 10/31/2019
IRB Letter FDA_IRB Letter 2019 1025 kdhrc.pdf 10/31/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.