Youth (aged 13-17)

Study of How Consumers Use Flavors to Make Inferences About Electronic Nicotine Delivery System (ENDS) Product Qualities and Intentions to Use (Phase 2)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0907 can be found here:

Documents and Forms

Document Name Document Type
Youth Assent Form.pdf Other-Youth Assent Form
Youth Assent Form.pdf Other-Youth Assent Form
Flavors Screeener.docx Other-Screener
Flavors Screeener.docx Other-Screener

Information Collection (IC) Details

IC Title:	Youth (aged 13-17)	Agency IC Tracking Number:	CTP

Is this a Common Form? No		IC Status: New

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-Youth Assent Form			Youth Assent Form.pdf		Yes	Yes	Fillable Fileable
Other-Screener			Flavors Screeener.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,750	3,750
Annual IC Time Burden (Hours)	438	438
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.