Youth 1st, 2nd, and; 3rd (Male, Rural Smokeless) follow up questionnaire

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

OMB: 0910-0753

IC ID: 208711

Documents and Forms
Document Name
Document Type
Other-Youth Follow-up Instrument
Other-Rationale for Item Changes to
Other-Media Tracking Screener and In
Other-Rationale for Item Changes to
Information Collection (IC) Details

View Information Collection (IC)

Youth 1st, 2nd, and; 3rd (Male, Rural Smokeless) follow up questionnaire
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Youth Follow-up Instrument 10 Attachment 2_Youth Follow-up Instrument 0910-0753.doc Yes No Printable Only
Other-Rationale for Item Changes to the Follwo up Instrument 11 Rationale for Item Changes to the Follow Up Instrument 0910-0753.docx Yes No Printable Only
Other-Media Tracking Screener and Instrument 12 Attachment 4_Media Tracking Screener and Instrument 0910-0753.doc Yes No Printable Only
Other-Rationale for Item Changes to Media Tracking Instrument 13 Rationale for Item Changes to the ExPECTT Media Tracking Instrument 0901-0753.docx Yes No Printable Only

Health Immunization Management

 

1,281 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 1,281 0 0 0 0 1,281
Annual IC Time Burden (Hours) 961 0 0 0 0 961
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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