OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Nicotine Education Project

IC 251913 under ICR 202308-0910-006 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-Young Adult Consent Form
Other-Young Adult Consent Form
Other-Youth Assent Form
Other-Youth Assent Form
Other-Survey Instrument
Other-Survey Instrument
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Nicotine Education Project
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Young Adult Consent Form Appendix A NEP Online Survey Young Adult Consent Form.docx Yes Yes Fillable Fileable
Other-Youth Assent Form Appendix B NEP Online Survey Youth Assent Form.docx Yes Yes Fillable Fileable
Other-Survey Instrument Appendix C NEP Online Survey.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

8,040 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 12,048 0 0 0 0 12,048
Annual IC Time Burden (Hours) 1,254 0 0 0 0 1,254
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IRB Approval Document IRB Approval NEP.pdf 03/10/2022
Supporting Statement A OMB_Supporting Statement_Part A_NEP Clean 5.31.docx 05/31/2022
Supporting Statement B OMB_Supporting Statement_Part B_NEP Clean 5.31.docx 05/31/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.