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General Population Screener and Consent Process (Youth and Parent)
Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign
OMB: 0910-0753
IC ID: 208707
OMB.report
HHS/FDA
OMB 0910-0753
ICR 201512-0910-002
IC 208707
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Attachment 10_Lead Letter (male rural smokeless) 0910-0753.doc
Other-Lead Letter
Attachment 11_Questions and Answers (male rural smokeless) 0910-0753.doc
Other-Questions and Answers
Survey_invitation_email_ExPECTT 3 0910-0753.doc
Other-Survey Invitation Email
Reminder postcard draft (male rural smokeless)_c.docx
Other-Reminder Postcard
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
General Population Screener and Consent Process (Youth and Parent)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Attachment 10_Lead Letter (male rural smokeless) 0910-0753.doc
No
Paper Only
Other-Questions and Answers
Attachment 11_Questions and Answers (male rural smokeless) 0910-0753.doc
No
Paper Only
Other-Survey Invitation Email
Survey_invitation_email_ExPECTT 3 0910-0753.doc
Yes
Yes
Fillable Fileable
Other-Reminder Postcard
Reminder postcard draft (male rural smokeless)_c.docx
No
Paper 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:
13,413
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
13,413
0
0
0
0
13,413
Annual IC Time Burden (Hours)
2,280
0
0
0
0
2,280
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.