Information Collection

Copy Testing of Tobacco Prevention and Cessation Advertisements Research Study

IC 260606 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⚠️ Notice: This information collection may be referencing outdated material.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
Copy Testing Sample E-mail Prompt FINAL.docx	Other-E-mail prompt/recruit
Copy Testing Sample E-mail Prompt FINAL.docx	Other-E-mail prompt/recruit
Copy Testing Parent and Legal Guardian Consent FINAL.docx	Other-Consent
Copy Testing Parent and Legal Guardian Consent FINAL.docx	Other-Consent
Copy Testing Youth Assent FINAL.docx	Other-Youth assent
Copy Testing Youth Assent FINAL.docx	Other-Youth assent
Copy Testing Screener FINAL.docx	Other-Screener
Copy Testing Screener FINAL.docx	Other-Screener
Copy Testing Sample Social Media Ads FINAL.docx	Other-Ads/invitation
Copy Testing Sample Social Media Ads FINAL.docx	Other-Ads/invitation
Copy Testing Study Stimuli FINAL.docx	Other-Study stimuli
Copy Testing Study Stimuli FINAL.docx	Other-Study stimuli
Copy Testing Survey Instrument FINAL.docx	Other-Survey
Copy Testing Survey Instrument FINAL.docx	Other-Survey
Copy Testing IRB.pdf IRB	IC Document
Copy Testing IRB.pdf IRB	IC Document
Copy Testing SSA FINAL.docx SSA	IC Document
Copy Testing SSA FINAL.docx SSA	IC Document
Copy Testing SSB FINAL.docx SSB	IC Document
Copy Testing SSB FINAL.docx SSB	IC Document

IC Title:

Copy Testing of Tobacco Prevention and Cessation Advertisements Research Study

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-E-mail prompt/recruit	Copy Testing Sample E-mail Prompt FINAL.docx	Yes	Yes	Fillable Fileable
Other-Consent	Copy Testing Parent and Legal Guardian Consent FINAL.docx	Yes	Yes	Fillable Fileable
Other-Youth assent	Copy Testing Youth Assent FINAL.docx	Yes	Yes	Fillable Fileable
Other-Screener	Copy Testing Screener FINAL.docx	Yes	Yes	Fillable Fileable
Other-Ads/invitation	Copy Testing Sample Social Media Ads FINAL.docx	Yes	Yes	Fillable Fileable
Other-Study stimuli	Copy Testing Study Stimuli FINAL.docx	Yes	No	Printable Only
Other-Survey	Copy Testing Survey Instrument FINAL.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,500

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	7,500	7,500
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.