Information Collection

Testing Message Evaluation Measures Using Youth-focused Vaping Prevention Messages

IC 253273 under ICR 202308-0910-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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
AppendixA_ME Study_ParentPermission.docx	Other-Parent/guardian permission to
AppendixA_ME Study_ParentPermission.docx	Other-Parent/guardian permission to
AppendixB_ME Study_YouthAssent.docx	Other-Youth assent to participate in
AppendixB_ME Study_YouthAssent.docx	Other-Youth assent to participate in
AppendixC_MEStudyInstrument Final.docx	Other-Screener and survey
AppendixC_MEStudyInstrument Final.docx	Other-Screener and survey
Approval_Correspondence_for_STUDY00021962.pdf	Other-IRB approval
Approval_Correspondence_for_STUDY00021962.pdf	Other-IRB approval
ME-Study_FinalAdsTruthInc.xlsx	Other-Final ads
ME-Study_FinalAdsTruthInc.xlsx	Other-Final ads
ME Study_Supporting Statement Part A.docx Supporting Statement part A-Testing Message Evaluation	IC Document
ME Study_Supporting Statement Part A.docx Supporting Statement part A-Testing Message Evaluation	IC Document
ME Study_Supporting Statement Part B.docx Supporting Statement part B-Testing Message Evaluation	IC Document
ME Study_Supporting Statement Part B.docx Supporting Statement part B-Testing Message Evaluation	IC Document

IC Title:

Testing Message Evaluation Measures Using Youth-focused Vaping Prevention Messages

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-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

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,000

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

Documents for IC

table that charts IC Documents
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.