Youth 1st, 2nd, 3rd and 4th Follow-Up Questionnaire (Experimenter and Non-Trier)

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

OMB: 0910-0753

IC ID: 208709

Documents and Forms
Document Name
Document Type
Other-Youth Assent under 18 ExPECTT
Other-Youth Consent 18 and up ExPECT
Other-Routing for Consent ExPECTT
Other-Youth Follow-up Instrument ExP
Information Collection (IC) Details

View Information Collection (IC)

Youth 1st, 2nd, 3rd and 4th Follow-Up 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
Other-Youth Assent under 18 ExPECTT Attachment 6_E1c. Youth Assent under 18 ExPECTT.doc No   Printable Only
Other-Youth Consent 18 and up ExPECTT Attachment 6_E1d. Youth Consent 18 and up ExPECTT.doc No   Paper Only
Other-Routing for Consent ExPECTT Attachment 6_E1a. Routing for Consent ExPECTT.doc Yes Yes Fillable Fileable
Other-Youth Follow-up Instrument ExPECTT Attachment 2_E1. Youth Follow-up Instrument ExPECTT.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

6,666 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 6,666 0 0 0 0 6,666
Annual IC Time Burden (Hours) 5,000 0 0 0 0 5,000
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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