Cohort 2--Youth 1st, 2nd, 3rd Follow-Up Questionnaire

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0753 can be found here:

Documents and Forms

Document Name Document Type
Attachment 2_E2b. Youth Follow-up 1 Instrument ExPECTT Cohort 2 Clean 1.28.19.docx Other-Youth Follow-up Instrument ExP
Attachment 6_E2a. Routing for Consent ExPECTT.doc Other-Routing for Consent ExPECTT
Attachment 6_E2d. Youth Consent 18 and up ExPECTT.docx Other-Youth Consent 18 and up ExPECT

Information Collection (IC) Details

IC Title:	Cohort 2--Youth 1st, 2nd, 3rd Follow-Up Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Youth Follow-up Instrument ExPECTT	Attachment 2_E2b. Youth Follow-up 1 Instrument ExPECTT Cohort 2 Clean 1.28.19.docx	Yes	Yes	Fillable Fileable
Other-Routing for Consent ExPECTT	Attachment 6_E2a. Routing for Consent ExPECTT.doc	Yes	Yes	Fillable Fileable
Other-Youth Consent 18 and up ExPECTT	Attachment 6_E2d. Youth Consent 18 and up ExPECTT.docx	No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,270	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,270	6,270
Annual IC Time Burden (Hours)	4,703	4,703
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.