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Adult - Survey
Experimental Study on Measuring Consumer Comprehension of Displays of Harmful and Potentially Harmful Constituents (HPHCs) in Tobacco Products and Tobacco Smoke
OMB: 0910-0880
IC ID: 236787
OMB.report
HHS/FDA
OMB 0910-0880
ICR 202009-0910-007
IC 236787
( )
Documents and Forms
Document Name
Document Type
Appendix G HPHC2 Online Survey Adult Consent Form_CLEAN.docx
Other-Online Survey Adult Consent Fo
Appendix K HPHC2 Online Survey Questionnaire_CLEAN_9.10.20.docx
Other-Online Survey Questionnaire
Appendix Q HPHC2 Online Survey Adult Reminder Email_CLEAN_2.20.docx
Other-Online Survey Adult Invitation
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Adult - Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Online Survey Adult Consent Form
Appendix G HPHC2 Online Survey Adult Consent Form_CLEAN.docx
Yes
Yes
Fillable Fileable Signable
Other-Online Survey Questionnaire
Appendix K HPHC2 Online Survey Questionnaire_CLEAN_9.10.20.docx
Yes
Yes
Fillable Fileable Signable
Other-Online Survey Adult Invitation Reminder Email
Appendix Q HPHC2 Online Survey Adult Reminder Email_CLEAN_2.20.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,300
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,300
0
0
0
0
3,300
Annual IC Time Burden (Hours)
1,100
0
0
0
0
1,100
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.