Information Collection

Increasing Understanding of Digital Advertising: Hookah Beliefs Survey

IC 258723 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment A_Hookah_Beliefs_Screener_and_Survey_CLEAN_120722.docx	Other-Screen and Survey
Attachment A_Hookah_Beliefs_Screener_and_Survey_CLEAN_120722.docx	Other-Screen and Survey
Attachment B_Hookah_Beliefs_Recruitment_Ads_CLEAN_22323.docx	Other-Recruitment Ads
Attachment B_Hookah_Beliefs_Recruitment_Ads_CLEAN_22323.docx	Other-Recruitment Ads
Attachment C_Hookah_Beliefs_Recruitment_Ads_FAQ 22323.docx	Other-Recruitment Ads FAQ
Attachment C_Hookah_Beliefs_Recruitment_Ads_FAQ 22323.docx	Other-Recruitment Ads FAQ
Attachment D_Hookah_Beliefs_Informed_Consent_CLEAN_120722.docx	Other-Consent
Attachment D_Hookah_Beliefs_Informed_Consent_CLEAN_120722.docx	Other-Consent
OMB Part B_FDA_Hookah_Beliefs_Survey_CLEAN_22323.docx Supporting Statement Part B	IC Document
OMB Part B_FDA_Hookah_Beliefs_Survey_CLEAN_22323.docx Supporting Statement Part B	IC Document
IRB_STUDY00022093.pdf IRB Approval	IC Document
IRB_STUDY00022093.pdf IRB Approval	IC Document
OMB Part A_FDA_Hookah_Beliefs_Survey_CLEAN_22323.docx Supporting Statement Part A	IC Document
OMB Part A_FDA_Hookah_Beliefs_Survey_CLEAN_22323.docx Supporting Statement Part A	IC Document

IC Title:

Increasing Understanding of Digital Advertising: Hookah Beliefs Survey

Agency IC Tracking Number:

CTP

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-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

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

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

Documents for IC

table that charts IC Documents
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.