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Federal forms, ICRs, and supporting documents

Information Collection

Increasing Understanding of Digital Advertising: Hookah Beliefs Survey

IC 258723 under ICR 202308-0910-006 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-Screen and Survey
Other-Screen and Survey
Other-Recruitment Ads
Other-Recruitment Ads
Other-Recruitment Ads FAQ
Other-Recruitment Ads FAQ
Other-Consent
Other-Consent
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Increasing Understanding of Digital Advertising: Hookah Beliefs Survey CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screen and Survey Attachment A_Hookah_Beliefs_Screener_and_Survey_CLEAN_120722.docx Yes Yes Fillable Fileable Signable
Other-Recruitment Ads Attachment B_Hookah_Beliefs_Recruitment_Ads_CLEAN_22323.docx Yes No Fillable Printable
Other-Recruitment Ads FAQ Attachment C_Hookah_Beliefs_Recruitment_Ads_FAQ 22323.docx Yes No Fillable Printable
Other-Consent Attachment D_Hookah_Beliefs_Informed_Consent_CLEAN_120722.docx Yes Yes Fillable Fileable Signable

Health Public Health Monitoring

 

5,000 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 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 700 0 0 0 0 700
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part B OMB Part B_FDA_Hookah_Beliefs_Survey_CLEAN_22323.docx 02/23/2023
IRB Approval IRB_STUDY00022093.pdf 02/23/2023
Supporting Statement Part A OMB Part A_FDA_Hookah_Beliefs_Survey_CLEAN_22323.docx 02/24/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.