Information Collection Request

[NCCDPHP] Message Testing for Tobacco Communication Activities

ICR 202409-0920-018 · OMB 0920-0910 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0910 Onlline Questionnaire Form and Instruction New Available
Form 0920-0910 Onlline Recruitment Screener Form and Instruction New Available
Non-Substantive Change Request_Rough cut testing in Spanish_20240815.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-23 Available
Non-Substantive Change Request_Rough cut testing in Spanish_20240815.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-23 Missing upstream
Att 3b. Online Main Questionnaire_Rough Cut Testing_Spanish_20240807.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Att 3b. Online Main Questionnaire_Rough Cut Testing_Spanish_20240807.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Att 3a Online Main Questionnaire_Rough Cut Testing_English_20240801.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Att 3a Online Main Questionnaire_Rough Cut Testing_English_20240801.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Att 2b. Online Questionnaire Recruitment Screener_Rough Cut Testing_Spanish_20240807.docx Supplementary Document Uploaded 2024-09-23 Available
Att 2b. Online Questionnaire Recruitment Screener_Rough Cut Testing_Spanish_20240807.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Att 2a Online Questionnaire Recruitment Screener_Rough Cut Testing_English_20240801.docx Supplementary Document Uploaded 2024-09-23 Available
Att 2a Online Questionnaire Recruitment Screener_Rough Cut Testing_English_20240801.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Att 1b. Invitation and follow up_Rough Cut Testing_Spanish_20240807.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Att 1b. Invitation and follow up_Rough Cut Testing_Spanish_20240807.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Att 1a. Invitation and Follow up_Rough Cut Testing_ English_20240805.docx Supplementary Document Uploaded 2024-09-23 Available
Att 1a. Invitation and Follow up_Rough Cut Testing_ English_20240805.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Att. 7 Example Reminder Invitations.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 7 Example Reminder Invitations.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 6 Toluna Privacy Policy.docx Supplementary Document Uploaded 2023-07-28 Available
Att. 6 Toluna Privacy Policy.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 5 Example Informed Consent Form.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 5 Example Informed Consent Form.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 4 Example Institutional Review Board Approval Letter.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 4 Example Institutional Review Board Approval Letter.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3n - ETP 0910 Att 6 Survey Questionnaire.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3n - ETP 0910 Att 6 Survey Questionnaire.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3m - ETP Attachment 9 Survey Questionnaire Eligibility Screener (9.24.21).docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3m - ETP Attachment 9 Survey Questionnaire Eligibility Screener (9.24.21).docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3l - ETP 0910 Att 5 Focus Group Mod Guide.docx Supplementary Document Uploaded 2023-07-28 Available
Att. 3l - ETP 0910 Att 5 Focus Group Mod Guide.docx Supplementary Document Uploaded 2023-07-28 Missing upstream
Att. 3k - ETP Attachment 1 Focus Group Recruitment Screener (9.28.21).docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3k - ETP Attachment 1 Focus Group Recruitment Screener (9.28.21).docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3j - Moderator's Guide For Adults Who Smoke Cigarettes and Use E-cigarettes.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3j - Moderator's Guide For Adults Who Smoke Cigarettes and Use E-cigarettes.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3i - Moderator's guide for in-depth interviews with adults who smoke.docx Supplementary Document Uploaded 2023-07-28 Available
Att. 3i - Moderator's guide for in-depth interviews with adults who smoke.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3h - 0910 Msg Platform Test Svy FINAL.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3h - 0910 Msg Platform Test Svy FINAL.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3g - 0910 Msg Platform Test Screen FINAL.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3g - 0910 Msg Platform Test Screen FINAL.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3f - Creative concepts testing moderator's guide.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3f - Creative concepts testing moderator's guide.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3e - Creative Concept Testing Focus Group Screener.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3e - Creative Concept Testing Focus Group Screener.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3c - Creative concepts testing screener.docx Supplementary Document Uploaded 2023-07-28 Available
Att. 3c - Creative concepts testing screener.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3b - Screenshots Rough-Cut Testing Survey.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3b - Screenshots Rough-Cut Testing Survey.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3a - Screenshots Rough-Cut Testing Screener.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3a - Screenshots Rough-Cut Testing Screener.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3 - Overview of proposed data collections.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 3 - Overview of proposed data collections.docx Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 1 Public Health Service Act.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Att. 1 Public Health Service Act.pdf Supplementary Document Uploaded 2023-07-28 Available
0910 Privacy Narrative FINAL.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
0910 Privacy Narrative FINAL.pdf Supplementary Document Uploaded 2023-07-28 Repair queued
Supporting Statement B_MTTCA.docx Supporting Statement B Uploaded 2023-07-28 Available
Supporting Statement B_MTTCA.docx Supporting Statement B Uploaded 2023-07-28 Missing upstream
Support-Statement-A_MTTCA.docx Supporting Statement A Uploaded 2023-07-28 Repair queued
Support-Statement-A_MTTCA.docx Supporting Statement A Uploaded 2023-07-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
272205 [NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3 Form and Instruction NewOnlline Questionnaire
272205 [NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3 Form and Instruction NewOnlline Recruitment Screener

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2026 09/30/2026 09/30/2026
446,316 0 446,316
60,117 0 60,117
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
[NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3 0920-0910, 0920-0910 ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 446,316 446,316 0 0 0 0
Annual Time Burden (Hours) 60,117 60,117 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No