Information Collection

Scholastic Vaping Education Materials Survey (CTP)

IC 248333 under ICR 202204-0910-001 · OMB 0910-0360.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Screener.docx	Other-Screener
Screener.docx	Other-Screener
Qualtrics Survey - Scholastic Vaping Materials Survey.pdf	Other-Survey Instrument
Qualtrics Survey - Scholastic Vaping Materials Survey.pdf	Other-Survey Instrument
Informed Consent - Scholastic Vaping Materials Survey.docx	Other-Informed Consent
Informed Consent - Scholastic Vaping Materials Survey.docx	Other-Informed Consent
0360 OMB Approval Memo - Scholastic Vaping Materials Survey 2021.docx OMB Approval Memo	IC Document
0360 OMB Approval Memo - Scholastic Vaping Materials Survey 2021.docx OMB Approval Memo	IC Document
IRB Letter.pdf IRB Letter	IC Document
IRB Letter.pdf IRB Letter	IC Document

IC Title:

Scholastic Vaping Education Materials Survey (CTP)

Agency IC Tracking Number:

CTP

IC Status: Unchanged

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-Screener	Screener.docx	Yes	Yes	Fillable Fileable
Other-Survey Instrument	Qualtrics Survey - Scholastic Vaping Materials Survey.pdf	Yes	Yes	Fillable Fileable
Other-Informed Consent	Informed Consent - Scholastic Vaping Materials Survey.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: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	766	766
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Approval Memo	0360 OMB Approval Memo - Scholastic Vaping Materials Survey 2021.docx	07/12/2021
IRB Letter	IRB Letter.pdf	07/12/2021

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