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Parent Of Youth Baseline Survey Participants
Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign
OMB: 0910-0753
IC ID: 208712
OMB.report
HHS/FDA
OMB 0910-0753
ICR 201506-0910-029
IC 208712
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0753 can be found here:
2022-04-07 - No material or nonsubstantive change to a currently approved collection
2020-09-23 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
3 Attachment 10 Lead Letter 0910-0753.doc
Other-Lead Letter
4 Survey_invitation_email 0910-0753.doc
Other-Survey Invitation email
8 Attachment 6_Parent Permission 0910-0753.doc
Other-Parent Permission
5 Email_reminder1_ 0910-0753.doc
Other-E-mail reminder #1
6 Email_reminder2_ 0910-0753.doc
Other-E-mail reminder #2
7 Email_reminder3_ 0910-0753.doc
Other-E-mail reminder #3
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parent Of Youth Baseline Survey Participants
Agency IC Tracking Number:
Is this a Common Form?
No
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-Lead Letter
3 Attachment 10 Lead Letter 0910-0753.doc
Yes
No
Printable Only
Other-Survey Invitation email
4 Survey_invitation_email 0910-0753.doc
Yes
No
Printable Only
Other-Parent Permission
8 Attachment 6_Parent Permission 0910-0753.doc
Yes
No
Printable Only
Other-E-mail reminder #1
5 Email_reminder1_ 0910-0753.doc
Yes
No
Printable Only
Other-E-mail reminder #2
6 Email_reminder2_ 0910-0753.doc
Yes
No
Printable Only
Other-E-mail reminder #3
7 Email_reminder3_ 0910-0753.doc
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,342
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,342
0
0
0
0
3,342
Annual IC Time Burden (Hours)
568
0
0
0
0
568
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.