OMB
.report
Search
FDA Consumer Perception Research on New and Emerging Tobacco Products
Pretesting of Tobacco Communications
OMB: 0910-0674
IC ID: 200081
OMB.report
HHS/FDA
OMB 0910-0674
ICR 201009-0910-003
IC 200081
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0674 can be found here:
2014-06-23 - No material or nonsubstantive change to a currently approved collection
2013-01-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Doc03_Attachment A_ Parental Written Permission Youth Interview.pdf
Instruction
Doc04_Attachment B_Youth Assent Form Interviews.pdf
Instruction
Doc05_ Attachment C_FG_Young Adult Consent.pdf
Instruction
Doc02_ Generic Template_Consmr Percept New Tobacco Prod.pdf
Consumer Perceptions of New Tobacco Products
IC Document
Doc01_ Generic Template_Consmr Percept New Tobacco Prod.pdf
OMB Justification
IC Document
Doc08_Attachment F_Youth Moderator Guide.pdf
Attachment F - Youth Moderator Guide
IC Document
Doc06_Attachment D_Tobacco FG screener_youth.pdf
Attachment D - Youth Recruitment Screener
IC Document
Doc07_Attachment E_Young adults recruitment screener.pdf
Attachment E Young Adult Recruitment Screener
IC Document
Doc09_Attachment G_Young Adult Group Guide.pdf
Attachment G - Young Adult Group Guide
IC Document
Doc10_ Attachment H_Focus Group Stimuli.pdf
Attachment H - Focus Group Stimuli
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FDA Consumer Perception Research on New and Emerging Tobacco Products
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Doc03_Attachment A_ Parental Written Permission Youth Interview.pdf
Yes
No
Paper Only
Instruction
Doc04_Attachment B_Youth Assent Form Interviews.pdf
Yes
No
Paper Only
Instruction
Doc05_ Attachment C_FG_Young Adult Consent.pdf
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
138
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
138
0
0
0
0
0
Annual IC Time Burden (Hours)
221
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Consumer Perceptions of New Tobacco Products
Doc02_ Generic Template_Consmr Percept New Tobacco Prod.pdf
11/04/2011
OMB Justification
Doc01_ Generic Template_Consmr Percept New Tobacco Prod.pdf
11/07/2011
Attachment F - Youth Moderator Guide
Doc08_Attachment F_Youth Moderator Guide.pdf
11/04/2011
Attachment D - Youth Recruitment Screener
Doc06_Attachment D_Tobacco FG screener_youth.pdf
11/04/2011
Attachment E Young Adult Recruitment Screener
Doc07_Attachment E_Young adults recruitment screener.pdf
11/04/2011
Attachment G - Young Adult Group Guide
Doc09_Attachment G_Young Adult Group Guide.pdf
11/04/2011
Attachment H - Focus Group Stimuli
Doc10_ Attachment H_Focus Group Stimuli.pdf
11/04/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.