Information Collection

Formative Research Support: Outcomes and Awareness Measurement Research

IC 252955 under ICR 202211-0910-008 · OMB 0910-0810.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0810 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A FRS Parental Permission Form_Wave 1_ 4-19-2022.pdf	Other-Parental permission form wave
Appendix A FRS Parental Permission Form_Wave 1_ 4-19-2022.pdf	Other-Parental permission form wave
Appendix B FRS Parental Permission Form_Wave 2 4-19-2022.pdf	Other-Parental permission form wave
Appendix B FRS Parental Permission Form_Wave 2 4-19-2022.pdf	Other-Parental permission form wave
Appendix C FRS Online Survey Youth Assent Form_Wave 1_4-19-2022.pdf	Other-Online survey youth assent for
Appendix C FRS Online Survey Youth Assent Form_Wave 1_4-19-2022.pdf	Other-Online survey youth assent for
Appendix D FRS Online Survey Youth Assent Form_Wave 2 4-19-2022.pdf	Other-Online survey youth assent for
Appendix D FRS Online Survey Youth Assent Form_Wave 2 4-19-2022.pdf	Other-Online survey youth assent for
Appendix E - Lightspeed Generic Study Communication.png	Other-Study communication
Appendix E - Lightspeed Generic Study Communication.png	Other-Study communication
Appendix F FRS Awareness and Outcomes Survey_Wave 1 4-19-2022.pdf	Other-Survey wave 1
Appendix F FRS Awareness and Outcomes Survey_Wave 1 4-19-2022.pdf	Other-Survey wave 1
Appendix G FRS Awareness and Outcomes Survey_Wave 2_4-19-2022.pdf	Other-Survey wave 2
Appendix G FRS Awareness and Outcomes Survey_Wave 2_4-19-2022.pdf	Other-Survey wave 2
IRB_for_STUDY FRS Parental Permission 4-19-2022.pdf	Other-IRB approval
IRB_for_STUDY FRS Parental Permission 4-19-2022.pdf	Other-IRB approval
AIP Athlete_2X3_collage.PNG	Other-Photos athlete wave 1
AIP Athlete_2X3_collage.PNG	Other-Photos athlete wave 1
AIP Athlete_6sec.mp4	Other-Video athlete 6 seconds wave 1
AIP Athlete_6sec.mp4	Other-Video athlete 6 seconds wave 1
AIP Athlete_15sec.mp4	Other-Video athlete 15 seconds wave
AIP Athlete_15sec.mp4	Other-Video athlete 15 seconds wave
Macroscopic Metals_2X3_collage.PNG	Other-Photo macroscopic metals wave
Macroscopic Metals_2X3_collage.PNG	Other-Photo macroscopic metals wave
Macroscopic Metals_6sec.mp4	Other-Video macroscopic metals 6 sec
Macroscopic Metals_6sec.mp4	Other-Video macroscopic metals 6 sec
Macroscopic Metals_15sec.mp4	Other-Video macroscopic metals 15 se
Macroscopic Metals_15sec.mp4	Other-Video macroscopic metals 15 se
Scary enough_2X3_collage.PNG	Other-Photos scary enough wave 1
Scary enough_2X3_collage.PNG	Other-Photos scary enough wave 1
Scary enough_6sec_1.mp4	Other-Video #1 scary enough 6 second
Scary enough_6sec_1.mp4	Other-Video #1 scary enough 6 second
Scary enough_6sec_2.mp4	Other-Video #2 scary enough 6 second
Scary enough_6sec_2.mp4	Other-Video #2 scary enough 6 second
Scary enough_15sec.mp4	Other-Video scary enough 15 seconds
Scary enough_15sec.mp4	Other-Video scary enough 15 seconds
ENDS Possessed_2X3_collage.PNG	Other-Photos ENDS possessed wave 2
ENDS Possessed_2X3_collage.PNG	Other-Photos ENDS possessed wave 2
ENDS_Possessed_6sec.mp4	Other-Video ENDS possessed 6 seconds
ENDS_Possessed_6sec.mp4	Other-Video ENDS possessed 6 seconds
ENDS Possessed_15sec.mp4	Other-Video ENDS possessed 15 second
ENDS Possessed_15sec.mp4	Other-Video ENDS possessed 15 second
Lil Bro_2X3_collage.PNG	Other-Photos lil bro wave 2
Lil Bro_2X3_collage.PNG	Other-Photos lil bro wave 2
Lil Bro_6sec.mp4	Other-Video lil bro 6 seconds wave 2
Lil Bro_6sec.mp4	Other-Video lil bro 6 seconds wave 2
Lil Bro_15sec.mp4	Other-Video lil bro 15 seconds wave
Lil Bro_15sec.mp4	Other-Video lil bro 15 seconds wave
Science Experiment_2X3_collage.PNG	Other-Photos science experiment wave
Science Experiment_2X3_collage.PNG	Other-Photos science experiment wave
Science Experiment_6sec.mp4	Other-Video science experiment 6 sec
Science Experiment_6sec.mp4	Other-Video science experiment 6 sec
Science Experiment_15sec.mp4	Other-Video science experiment 15 se
Science Experiment_15sec.mp4	Other-Video science experiment 15 se
SS Part A FRS Outcomes and Awareness 4-19-2022.pdf Supporting Statement Part A	IC Document
SS Part A FRS Outcomes and Awareness 4-19-2022.pdf Supporting Statement Part A	IC Document
SS Part B FRS Outcomes and Awareness 4-19-2022.pdf Supporting Statement Part B	IC Document
SS Part B FRS Outcomes and Awareness 4-19-2022.pdf Supporting Statement Part B	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Formative Research Support: Outcomes and Awareness Measurement Research

Agency IC Tracking Number:

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-Parental permission form wave 1	Appendix A FRS Parental Permission Form_Wave 1_ 4-19-2022.pdf	Yes	Yes	Fillable Fileable
Other-Parental permission form wave 2	Appendix B FRS Parental Permission Form_Wave 2 4-19-2022.pdf	Yes	Yes	Fillable Fileable
Other-Online survey youth assent form wave 1	Appendix C FRS Online Survey Youth Assent Form_Wave 1_4-19-2022.pdf	Yes	Yes	Fillable Fileable
Other-Online survey youth assent form wave 2	Appendix D FRS Online Survey Youth Assent Form_Wave 2 4-19-2022.pdf	Yes	Yes	Fillable Fileable
Other-Study communication	Appendix E - Lightspeed Generic Study Communication.png	Yes	Yes	Fillable Fileable
Other-Survey wave 1	Appendix F FRS Awareness and Outcomes Survey_Wave 1 4-19-2022.pdf	Yes	Yes	Fillable Fileable
Other-Survey wave 2	Appendix G FRS Awareness and Outcomes Survey_Wave 2_4-19-2022.pdf	Yes	Yes	Fillable Fileable
Other-IRB approval	IRB_for_STUDY FRS Parental Permission 4-19-2022.pdf	Yes	No	Printable Only
Other-Photos athlete wave 1	AIP Athlete_2X3_collage.PNG	Yes	No	Printable Only
Other-Video athlete 6 seconds wave 1	AIP Athlete_6sec.mp4	Yes	No	Printable Only
Other-Video athlete 15 seconds wave 1	AIP Athlete_15sec.mp4	Yes	No	Printable Only
Other-Photo macroscopic metals wave 1	Macroscopic Metals_2X3_collage.PNG	Yes	No	Printable Only
Other-Video macroscopic metals 6 seconds wave 1	Macroscopic Metals_6sec.mp4	Yes	No	Printable Only
Other-Video macroscopic metals 15 seconds wave 1	Macroscopic Metals_15sec.mp4	Yes	No	Printable Only
Other-Photos scary enough wave 1	Scary enough_2X3_collage.PNG	Yes	No	Printable Only
Other-Video #1 scary enough 6 seconds wave 1	Scary enough_6sec_1.mp4	Yes	No	Printable Only
Other-Video #2 scary enough 6 seconds wave 1	Scary enough_6sec_2.mp4	Yes	No	Printable Only
Other-Video scary enough 15 seconds wave 1	Scary enough_15sec.mp4	Yes	No	Printable Only
Other-Photos ENDS possessed wave 2	ENDS Possessed_2X3_collage.PNG	Yes	No	Printable Only
Other-Video ENDS possessed 6 seconds wave 2	ENDS_Possessed_6sec.mp4	Yes	No	Printable Only
Other-Video ENDS possessed 15 seconds wave 2	ENDS Possessed_15sec.mp4	Yes	No	Printable Only
Other-Photos lil bro wave 2	Lil Bro_2X3_collage.PNG	Yes	No	Printable Only
Other-Video lil bro 6 seconds wave 2	Lil Bro_6sec.mp4	Yes	No	Printable Only
Other-Video lil bro 15 seconds wave 2	Lil Bro_15sec.mp4	Yes	No	Printable Only
Other-Photos science experiment wave 2	Science Experiment_2X3_collage.PNG	Yes	No	Printable Only
Other-Video science experiment 6 seconds wave 2	Science Experiment_6sec.mp4	Yes	No	Printable Only
Other-Video science experiment 15 seconds wave 2	Science Experiment_15sec.mp4	Yes	No	Printable Only

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: 21,267

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	21,267	21,267
Annual IC Time Burden (Hours)	2,749	2,749
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Part A	SS Part A FRS Outcomes and Awareness 4-19-2022.pdf	04/20/2022
Supporting Statement Part B	SS Part B FRS Outcomes and Awareness 4-19-2022.pdf	04/20/2022

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