Adolescent - Main data collection

Experimental Study of Cigarette Warnings

Documents and Forms

Document Name Document Type
Youth Assent Session 1.docx Other-Youth Assent Session 1
Youth Assent Session 2.docx Other-Youth Assent Session 2
Youth Assent Session 3.docx Other-Youth Assent Session 3

Information Collection (IC) Details

IC Title:	Adolescent - Main data collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Youth Assent Session 1	Youth Assent Session 1.docx	Yes	Yes	Fillable Fileable Signable
Other-Youth Assent Session 2	Youth Assent Session 2.docx	Yes	Yes	Fillable Fileable Signable
Other-Youth Assent Session 3	Youth Assent Session 3.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,300	2,300
Annual IC Time Burden (Hours)	966	966
Annual IC Cost Burden (Dollars)	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.