General Population Screener and Consent Process (Youth and Parent)

Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign

Documents and Forms

Document Name Document Type
Attachment 6_E2b3. Parent Permission ExPECTT II FU 3-4_clean.docx Other-Parent Permission ExPECTT FU
Attachment 6_E2b3. Parent Permission ExPECTT II FU 3-4_clean.docx Other-Parent Permission ExPECTT FU

Information Collection (IC) Details

IC Title:	General Population Screener and Consent Process (Youth and Parent)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-Parent Permission ExPECTT FU			Attachment 6_E2b3. Parent Permission ExPECTT II FU 3-4_clean.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,270	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,270	6,270
Annual IC Time Burden (Hours)	784	784
Annual IC Cost Burden (Dollars)	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.