July 2 2014 0753 Change request memo

0910-0753 Evaluation Campaign Non substantive change request 83c 7.2.14.docx

Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign

July 2 2014 0753 Change request memo

OMB: 0910-0753

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Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign

(OMB Control Number 0910-0753)



Change Request (83-C)


July 02, 2014

The Food and Drug Administration is submitting this nonmaterial/non-substantive change request (83-C) to incorporate a third round of minor edits to the youth follow-up instrument (attachment 2), Incentives document (attachment 5), permission letters (attachment 6), , Panel Maintenance Letter (attachment 10), and supporting statements part A and B.

In addition, the following documents are provided to explain the justification for this change request:


  1. “Rationale for Items Added to or Removed From the ExPECTT Youth Follow-up Instrument” A document outlining the items that have been added to and dropped from the follow-up survey, and the rationale for the change.


  1. “ExPECTT Parent Permission for Youth Follow-Up Interview – Version 1A” A revised parent permission letter


  1. “Panel Maintenance Letter” A revised panel maintenance letter.


  1. “Follow-up Youth Assent Form”

  1. A revised youth consent form

  1. Revised incentives document - The incentives are increasing to meet the goal of reducing non-response bias, an increase of incentive from $20 to $25 for respondents who complete the online version of the ExPECTT follow-up survey during a three week early release period.



  1. Revised Supporting Statement Part A

  1. Revised Supporting Statement Part B


In conversations with OMB in the past, we noted that we expected to have non-substantive changes to our instruments based on the development/changes to the campaign creative.





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