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

Documents and Forms
Document Name
Document Type
Other-Email Reminder 3 ExPECTT
Other-Parent Screener and Instrument
Other-ead Letter (male rural smokele
Other-Lead Letter ExPECTT 1
Other-Lead Letter ExPECTT 2
Other-Survey Invitation Email ExPECT
Other-Survey Invitation Email (male
Other-Email Reminder 1 ExPECTT
Other-Mail Reminder 2ExPECTT
Other-Parent Guardian Instrument ExP
Other-Introduction to Study
Other-Study Description
Other-Q&As about the ExPECTT Evaluat
Other-Questions and Answers (male ru
Other-Telephone Verification Survey
Other-Field Interviewer Verification
Other-Notifications ExPECTT
Other-Panel Maintenance ExPECTT
Other-Panel Maintenance Letter ExPEC
Other-Panel Maintenance Letter (male
Other-Panel_Maint_Update_Form (male
Other-Notifications (male rural smok
Other-Panel Maintenance Email (male
Other-Email_Reminder 1 (male rural s
Other-Email_Reminder 2 (male rural s
Other-Email_Reminder 3 (male rural s
Information Collection (IC) Details

View Information Collection (IC)

Parent Of Youth Baseline Survey Participants
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Email Reminder 3 ExPECTT Attachment 21_E1. Email_reminder3_ExPECTT.doc Yes No Printable Only
Other-Parent Screener and Instrument (male rural smokeless) Attachment 3_Parent Screener and Instrument (male rural smokeless) 0910-0753.docx Yes Yes Fillable Fileable
Other-ead Letter (male rural smokeless) Attachment 10_R. Lead Letter (male rural smokeless).docx No   Paper Only
Other-Lead Letter ExPECTT 1 Attachment 10_E1. Lead Letter ExPECTT.doc No   Paper Only
Other-Lead Letter ExPECTT 2 Attachment 10_E2. Lead Letter ExPECTT.doc No   Paper Only
Other-Survey Invitation Email ExPECTT Attachment 18_E1. Survey_invitation_email_ExPECTT.doc No   Printable Only
Other-Survey Invitation Email (male rural smokeless) Attachment 18_R. Survey Invitation Email (male rural smokeless).docx No   Printable Only
Other-Email Reminder 1 ExPECTT Attachment 19_E1. Email_reminder1_ExPECTT.doc Yes No Printable Only
Other-Mail Reminder 2ExPECTT Attachment 20_E1. mail_reminder2_ExPECTT.doc No   Paper Only
Other-Parent Guardian Instrument ExPECTT Attachment 3_E2c. Parent Guardian Instrument ExPECTT.doc Yes Yes Fillable Fileable
Other-Introduction to Study Attachment 7_E2. Introduction to Study.doc Yes No Printable Only
Other-Study Description Attachment 8_E2. Study Description.doc No   Printable Only
Other-Q&As about the ExPECTT Evaluation Attachment 11_E2. Q&As about the ExPECTT Evaluation.doc No   Paper Only
Other-Questions and Answers (male rural smokeless) Attachment 11_R. Questions and Answers (male rural smokeless).docx Yes No Printable Only
Other-Telephone Verification Survey ExPECTT Attachment 12_E2. Telephone Verification Survey ExPECTT.doc No   Printable Only
Other-Field Interviewer Verification (male rural smokeless) Attachment 12_R. Field Interviewer Verification (male rural smokeless).docx No   Printable Only
Other-Notifications ExPECTT Attachment 13_E2. Notifications ExPECTT.doc No   Paper Only
Other-Panel Maintenance ExPECTT Attachment 15_E1. Panel Maintenance ExPECTT.docx No   Paper Only
Other-Panel Maintenance Letter ExPECTT Attachment 15_E2. Panel Maintenance Letter ExPECTT.docx No   Paper Only
Other-Panel Maintenance Letter (male rural smokeless) Attachment 15_R. Panel Maintenance Letter (male rural smokeless).docx No   Paper Only
Other-Panel_Maint_Update_Form (male rural smokeless) Attachment 16_R. Panel_Maint_Update_Form (male rural smokeless).docx No   Paper Only
Other-Notifications (male rural smokeless) Attachment 14_R. Notifications (male rural smokeless).docx No   Paper Only
Other-Panel Maintenance Email (male rural smokeless) Attachment 22_R. Panel Maintenance Email (male rural smokeless).docx Yes No Printable Only
Other-Email_Reminder 1 (male rural smokeless) Attachment 19_R. Email_Reminder 1 (male rural smokeless).docx Yes No Printable Only
Other-Email_Reminder 2 (male rural smokeless) Attachment 20_R. Email_Reminder 2 (male rural smokeless).docx Yes No Printable Only
Other-Email_Reminder 3 (male rural smokeless) Attachment 21_R. Email_Reminder 3 (male rural smokeless).docx Yes No Printable Only

Health Consumer Health and Safety

 

6,009 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 6,009 0 0 0 0 6,009
Annual IC Time Burden (Hours) 1,022 0 0 0 0 1,022
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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