Information Collection

Menthol User Audience Research

IC 254369 under ICR 202105-0910-001 · OMB 0910-0796.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0796 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - Study Invitation_Updated 062222.docx	Other-Appendix A - Study Invitation
Appendix B - Recruitment Screener_Updated 062222.docx	Other-Appendix B. - Recruitment Scre
Appendix C - Confirmation Script_Updated 062122.docx	Other-Appendix C - Confirmation Scri
Appendix D - Recruitment Communication_Updated 062122.docx	Other-Appendix D: Recruitment Commun
Appendix E - IDI Questionnaire_Updated 062122.docx	Other-Appendix E: In-depth Interview
Appendix F - Consent Form_Updated 062122.docx	Other-Appendix F: Consent Form
Appendix G - Interview Guide_Menthol User Audience Research_Updated 062122.docx	Other-Appendix G - Interview Guide
0796 OMB Gen IC Memo Menthol User Audience_Updated 062122.docx OMB Memo- Menthol User Audience Research	IC Document

IC Title:

Menthol User Audience Research

Agency IC Tracking Number:

CTP

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix A - Study Invitation	Appendix A - Study Invitation_Updated 062222.docx	Yes	Yes	Fillable Fileable
Other-Appendix B. - Recruitment Screener	Appendix B - Recruitment Screener_Updated 062222.docx	Yes	Yes	Fillable Fileable
Other-Appendix C - Confirmation Script	Appendix C - Confirmation Script_Updated 062122.docx	Yes	Yes	Fillable Fileable
Other-Appendix D: Recruitment Communication	Appendix D - Recruitment Communication_Updated 062122.docx	Yes	No	Fillable Fileable
Other-Appendix E: In-depth Interview Questionnaire	Appendix E - IDI Questionnaire_Updated 062122.docx	Yes	Yes	Fillable Fileable
Other-Appendix F: Consent Form	Appendix F - Consent Form_Updated 062122.docx	Yes	Yes	Fillable Fileable
Other-Appendix G - Interview Guide	Appendix G - Interview Guide_Menthol User Audience Research_Updated 062122.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,548	7,548
Annual IC Time Burden (Hours)	413	413
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo- Menthol User Audience Research	0796 OMB Gen IC Memo Menthol User Audience_Updated 062122.docx	06/23/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.