[NCCDPHP] Menthol-Flavored Tobacco Products Policy Evaluation

Forms and Documents

Document Name	Status
Form 0920-23FN Community Focus Group Form	New
Form 0920-23FN Focus Group Screener Questionnaire Form and Instruction	New
Form 0920-23FN Community Web Panel Survey Form	New
Form 0920-23FN Survey Screener Questionnaire Form	New
Attachment 8b CDC IRB Approval Letter_April 2024.pdf Supplementary Document	2024-12-18
14. Attatchment 8a. IRB Approval_Menthol Policy Evaluation.pdf Supplementary Document	2024-12-18
8. Attatchment 4b. Focus Group Eligibility Screener_Menthol Policy Evaluation.VF.2024.10.16.docx Supplementary Document	2024-12-18
6. Attatchment 3b. Consent Form - Focus Group Consent to Participate Form_Menthol Policy.docx Supplementary Document	2024-12-18
5. Attatchment 3a. Consent Form - Survey Consent to Participate_Menthol Policy Evaluatio.docx Supplementary Document	2024-12-18
3. Attatchment 2a. Survey Recruitment Language_Menthol Policy Evaluation.docx Supplementary Document	2024-12-18
2. Attachement 1. Authorizing Language - Public Health Service Act_Menthol Evaluation.pdf Supplementary Document	2024-12-18
15. SSB_Menthol Policy Evaluation.VF.2024.10.16.docx Supporting Statement B	2024-12-18
1. SSA_Menthol Policy Evaluation.VF.2024.11.19.docx Supporting Statement A	2024-12-18

IC Document Collections

IC ID	Document Title	Status
273140	Community Focus Group Form	New
273139	Focus Group Screener Questionnaire Form and Instruction	New
273138	Community Web Panel Survey Form	New
273137	Survey Screener Questionnaire Form	New

ICR Details

OMB Control No:	ICR Reference No: 202412-0920-014
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-23FN
Title: [NCCDPHP] Menthol-Flavored Tobacco Products Policy Evaluation
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/19/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	15,411	0
Time Burden (Hours)	1,751	0
Cost Burden (Dollars)	0	0

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Abstract: The Menthol-Flavored Tobacco Product Policy Evaluation will evaluate the impact of local policies restricting the sale of menthol-flavored tobacco products (hereafter referred to as menthol tobacco products). This evaluation will compare cities with policies restricting the sale of menthol tobacco products and cities with similar demographic characteristics without these policies. Outcomes of interest include commercial tobacco product use and related behaviors, perceived access to menthol tobacco products, and menthol tobacco product-related beliefs and perceptions. This information collection focuses on groups who use commercial menthol tobacco products at higher rates including people who identify as lesbian, gay, bisexual, transgender, queer, or another sexual or gender minority (LGBTQ+) and racial and ethnic minority groups (persons identifying as American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, Hispanic or Latino, or multiracial).

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 71280	09/03/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 97007	12/06/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Community Focus Group	0920-23FN	Focus Group Moderator Guide
Community Web Panel Survey	0920-23FN	Web-Based Data Collection Pages
Focus Group Screener Questionnaire	0920-23FN	Survey
Survey Screener Questionnaire	0920-23FN	Survey Eligibility Screener Screener

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ICR Summary of Burden

	Total Request	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	15,411	0	0	15,411	0	0
Annual Time Burden (Hours)	1,751	0	0	1,751	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection proposing 3 years of approval for 1751 annual hours.

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Annual Cost to Federal Government: $601,092

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/19/2024

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