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[NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3

IC 272205 under ICR 202503-0920-031 · OMB 0920-0910.

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Form and Instruction
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[NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3 0920-0910-25AZ
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0910 Onlline Recruitment Screener Att 2 - Recruitment Screener_Cycle 3 Rough Cut Testing_20241004.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-0910 Onlline Questionnaire Att 3 - Questionnaire_Cycle 3 Rough Cut Testing_20241004.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-0910 Online Questionnaire for Rough Cut Testing of Television Advertisements REVISED 27MAR2025 Att 3 - Questionnaire_Cycle 3 Rough Cut Testing_Clean Copy_20250318.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

24,714 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 24,714 0 0 0 0 24,714
Annual IC Time Burden (Hours) 2,833 0 0 0 0 2,833
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Invitation Email Att 1 - Invitation Email_Cycle 3 Rough Cut Testing_20240725.docx 11/07/2024
Online Questionnaire - screenshots Att 4 - Online Questionnaire Screenshots_Rough Cut Testing_20241007.docx 11/07/2024
Panel Terms and Conditions Att 5 - Panel Terms and Conditions_Cycle 3 Rough Cut Testing_20240725.pdf 11/07/2024
Panel Privacy Policies Att 7 - Panel Privacy Policies_Cycle 3 Rough Cut Testing_20240725.pdf 11/07/2024
IRB Exemption Att 6 - Notice of Exemption IRB 0840 Rev 3.0 Cycle 3 Rough Cut Testing.Sept 2024.pdf 11/07/2024
Secure Link for TV scripts Secure link for the TV scripts.docx 11/07/2024
Supporting Statement A Supporting Statement A_Cycle 3 Rough Cut Testing_20241004.docx 11/07/2024
Supporting Statement B Supporting Statement B_Cycle 3 Rough Cut Testing_20241004.docx 11/07/2024
Non-Substantive Change Request Memo 27MAR2025 Change Request Memo EO14168_Rough-Cut Testing Cyle 3_ 20250319.docx 03/26/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.