Youth Baseline Questionnaire (Experimenter and Non-Trier)

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

OMB: 0910-0753

IC ID: 208708

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Other-Survey
Instruction
Instruction
Instruction
Instruction
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Youth Baseline Questionnaire (Experimenter and Non-Trier)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 2a_Rationale for Outcome Evaluation Measures.docx Yes No Printable Only
Instruction Attachment 7_Introduction to Study_tracked changes.doc Yes No Printable Only
Instruction Attachment 8_Study Description_tracked changes.doc Yes No Printable Only
Instruction Attachment 9_Privacy and Data Security.doc Yes No Printable Only
Instruction Attachment 2_Youth Follow-up-070214.doc Yes No Fillable Printable
Instruction Attachment 11_Questions and Answers about the ExPECTT Evaluation_tracked changes.doc Yes No Printable Only
Instruction Attachment 13_Notifications_tracked changes.doc Yes No Printable Only
Other-Survey Attachment 12_Telephone Verification Survey_tracked changes.doc Yes No Printable Only
Instruction Attachment 10_Baseline Parent Lead Letter_tracked changes.doc Yes No Printable Only
Instruction Attachment 5_Incentives-070214.doc Yes No Printable Only
Instruction Attachment 6_Parent Permission-070214.doc Yes No Printable Only
Instruction Attachment 6_Youth Consent-070214.doc Yes No Printable Only
Instruction Attachment 10_ Lead Letter-070214.doc Yes No Printable Only

Health Immunization Management

 

2,686 0
   
Individuals or Households
 
   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 2,686 0 0 0 0 2,686
Annual IC Time Burden (Hours) 1,343 0 0 0 0 1,343
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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