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Point-of-Sale Strategic Concept Testing – Focus Groups with Current Adult Smokers
Pretesting of Tobacco Communications
OMB: 0910-0674
IC ID: 216334
OMB.report
HHS/FDA
OMB 0910-0674
ICR 201406-0910-011
IC 216334
( )
Documents and Forms
Document Name
Document Type
POS Strategic Concept Testing_Screener_4 23 15.docx
Other-Screener
POS Strategic Concept Testing_Consent Form_4 23 15.docx
Other-Consent Form
POS Strategic Concept Testing_Concept Ranking Worksheet_4 21 15.pdf
Other-Concept Ranking Worksheet
POS Strategic Concept Testing_Discussion Guide_4 23 15.docx
Other-Discussion Guide
POS Strategic Concept Testing_Participant Rating Worksheet_4 21 15.pdf
Other-Participant Rating Worksheet
POS Strategic Concept Testing_Stimuli.pdf
Other-Concept Testing Stimuli
POS Strategic Concept Testing_OMB Memo_4 23 15.doc
Supporting Statement Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Point-of-Sale Strategic Concept Testing – Focus Groups with Current Adult Smokers
Agency IC Tracking Number:
CTP
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
Other-Screener
POS Strategic Concept Testing_Screener_4 23 15.docx
No
Printable Only
Other-Consent Form
POS Strategic Concept Testing_Consent Form_4 23 15.docx
No
Printable Only
Other-Concept Ranking Worksheet
POS Strategic Concept Testing_Concept Ranking Worksheet_4 21 15.pdf
No
Printable Only
Other-Discussion Guide
POS Strategic Concept Testing_Discussion Guide_4 23 15.docx
No
Printable Only
Other-Participant Rating Worksheet
POS Strategic Concept Testing_Participant Rating Worksheet_4 21 15.pdf
No
Printable Only
Other-Concept Testing Stimuli
POS Strategic Concept Testing_Stimuli.pdf
No
Printable 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:
432
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
432
0
432
0
0
0
Annual IC Time Burden (Hours)
288
0
288
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement Memo
POS Strategic Concept Testing_OMB Memo_4 23 15.doc
04/28/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.