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Federal forms, ICRs, and supporting documents

Information Collection

Testing Message Evaluation Measures Using Youth-focused Vaping Prevention Messages

IC 253273 under ICR 202211-0910-008 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-Parent/guardian permission to
Other-Parent/guardian permission to
Other-Youth assent to participate in
Other-Youth assent to participate in
Other-Screener and survey
Other-Screener and survey
Other-IRB approval
Other-IRB approval
Other-Final ads
Other-Final ads
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Testing Message Evaluation Measures Using Youth-focused Vaping Prevention Messages
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Parent/guardian permission to participate in study AppendixA_ME Study_ParentPermission.docx Yes Yes Fillable Fileable
Other-Youth assent to participate in study AppendixB_ME Study_YouthAssent.docx Yes Yes Fillable Fileable
Other-Screener and survey AppendixC_MEStudyInstrument Final.docx Yes Yes Fillable Fileable
Other-IRB approval Approval_Correspondence_for_STUDY00021962.pdf Yes No Printable Only
Other-Final ads ME-Study_FinalAdsTruthInc.xlsx Yes No Printable Only

Health Consumer Health and Safety

 

8,000 0
   
Individuals or Households
 
   100 %

  Requested 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 8,000 0 0 0 0 8,000
Annual IC Time Burden (Hours) 1,367 0 0 0 0 1,367
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement part A-Testing Message Evaluation ME Study_Supporting Statement Part A.docx 08/09/2022
Supporting Statement part B-Testing Message Evaluation ME Study_Supporting Statement Part B.docx 06/07/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.