OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

The Real Cost Campaign: Media Tracking Study

IC 252375 under ICR 202308-0910-006 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-Email Invitation for Parents o
Other-Email Invitation for Parents o
Other-Parental Notification and Opt-
Other-Parental Notification and Opt-
Other-Youth Assent Form
Other-Youth Assent Form
Other-Screener
Other-Screener
Other-Survey
Other-Survey
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

The Real Cost Campaign: Media Tracking Study CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Email Invitation for Parents of Youth Appendix A - Email Invitation for Parents of Youth.docx Yes Yes Printable Only
Other-Parental Notification and Opt-Out Form Appendix B - Parental Notification and Opt-Out Form.docx Yes Yes Printable Only
Other-Youth Assent Form Appendix C - Youth Assent Form.docx Yes Yes Printable Only
Other-Screener Appendix D- Screener.docx Yes No Printable Only
Other-Survey Appendix E- Survey.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

10,000 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 10,000 0 0 0 0 10,000
Annual IC Time Burden (Hours) 1,051 0 0 0 0 1,051
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0810 Gen IC SS A Media Tracking Study Part A Supporting Statement_2022 03_2.0.docx 07/08/2022
0810 Gen IC SS B Media Tracking Study Part B Supporting Statement_2022 03.docx 03/25/2022
IRB Letter IRB approval 2022.pdf 03/25/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.