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Online Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use
Pretesting of Tobacco Communications
OMB: 0910-0674
IC ID: 208858
OMB.report
HHS/FDA
OMB 0910-0674
ICR 201406-0910-011
IC 208858
( )
Documents and Forms
Document Name
Document Type
Experimenter Copy Testing Stimuli_OMB Submission_9_10_11.pptx
Other-Stimuli
Experimenter Copy Testing_Screener.docx
Other-Screener
Experimenter_Copy_Testing_ Youth Assent.docx
Other-Youth Assent
Experimenter_Copy_Testing_ Parent Consent.docx
Other-Parent Consent
Tobacco Copy Testing Questionnaire.docx
Other-QUESTIONNAIRE
Experimenter_Copy_Testing OMB Justification Memo.docx
OMB Justification Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Online Quantitative Study of Youth Reactions to Rough-Cut Advertising Designed to Prevent Youth Tobacco Use
Agency IC Tracking Number:
IC Status:
Unchanged
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
Other-Stimuli
Experimenter Copy Testing Stimuli_OMB Submission_9_10_11.pptx
Yes
Yes
Fillable Printable
Other-Screener
Experimenter Copy Testing_Screener.docx
Yes
Yes
Fillable Fileable
Other-Youth Assent
Experimenter_Copy_Testing_ Youth Assent.docx
Yes
Yes
Fillable Fileable
Other-Parent Consent
Experimenter_Copy_Testing_ Parent Consent.docx
Yes
Yes
Fillable Fileable
Other-QUESTIONNAIRE
Tobacco Copy Testing Questionnaire.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,575
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
1,575
0
0
0
0
1,575
Annual IC Time Burden (Hours)
528
0
0
0
0
528
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Justification Memo
Experimenter_Copy_Testing OMB Justification Memo.docx
09/27/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.