OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Evaluation of the Food and Drug Administration's 'Fresh Empire' Multicultural Youth Tobacco Prevention Campaign.

OMB 0910-0788 · HHS/FDA.

OMB 0910-0788

The Food and Drug Administration (FDA) requests Office of Management and Budget (OMB) approval to conduct in-person and Web-based surveys of multicultural youth in the United States, as the Evaluation of the Fresh Empire Campaign on Tobacco (EFECT). These surveys will be fielded for purposes of evaluating FDA’s Fresh Empire public education campaign for multicultural youth 12 to 17 years old. The primary outcome evaluation will consist of a pre-test survey and cross-sectional post-test surveys with an embedded longitudinal cohort in campaign and control cities beginning approximately 6 months following the campaign launch. Data from this evaluation will be used to gauge campaign awareness and examine the statistical relationships between exposure to the campaign and changes in outcome variables of interest.

The latest form for Evaluation of the Food and Drug Administration's 'Fresh Empire' Multicultural Youth Tobacco Prevention Campaign. expires 2021-08-31 and is listed under ICR 201901-0910-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
0910-0788 PRA SS_Part A_FU5_REVISED (clean).docxSupporting Statement A
0910-0788 Summary of Changes to EFECT Instrument for FU5.docx Justification for No Material/Nonsubstantive Change
0910-0788 change request memo EFECT.docx Justification for No Material/Nonsubstantive Change
0910-0788 PRA SS_Part B_FU5_REVISED.docxSupporting Statement B
0788 Early Bird Incentive Clarification.docx Supplementary Document
Attachment 01a_Fresh_Empire_Storyboards_FU5_NEW.docx Supplementary Document
Attachment 15_Interview Incentive Receipt_FU5.docx Supplementary Document
Attachment 14b_Questions and Answers Fact Sheet (Web Cross Sectional)_FU5.docx Supplementary Document
Attachment 14a_Questions and Answers Fact Sheet (Household Longitudinal)_FU5.docx Supplementary Document
Attachment 12 _Sorry I Missed You Card_FU5.docx Supplementary Document
Attachment 06_Study Description_FU5.docx Supplementary Document
Attachment 4_ Incentive Lit Review.doc Supplementary Document
Attachment 03a_Social_Media_Ads_FU5_NEW.docx Supplementary Document
Youth Online Screener– Outcome Survey Other-Longitudinal Web Consent and Assent
Cross-Sectional Youth Refresher Sample, Post-test and Assent/Consent Process - Outcome Surveys 1-5 Other-Post Campaign Instrument
Longitudinal Cohort Youth Assent/Consent Process and Post-Tests 1-5 – Outcome Survey Other-Verification Call Script Age 18
Youth Pre-Test – Outcome Survey Other-Post Campaign Instrument
Adult Parental Permission Process – Outcome Survey Other-Outcome Parent Lead Letter (Longitudinal)
Youth Mail Screener - Outcome Survey Other-Outcome Mail Screener

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201901-0910-003 No material or nonsubstantive change to a currently approved collection 2019-02-12 Approved without change
201808-0910-001 Reinstatement with change of a previously approved collection 2018-08-02 Approved with change
201803-0910-004 Extension without change of a currently approved collection 2018-04-20 Improperly submitted and continue
201708-0910-012 No material or nonsubstantive change to a currently approved collection 2017-08-15 Approved with change
201701-0910-001 No material or nonsubstantive change to a currently approved collection 2017-01-09 Approved without change
201603-0910-010 No material or nonsubstantive change to a currently approved collection 2016-03-24 Approved without change
201504-0910-001 New collection (Request for a new OMB Control Number) 2015-04-15 Approved with change

OMB Details

Youth Mail Screener - Outcome Survey

Federal Enterprise Architecture: Health - Consumer Health and Safety