Focus Group Study of Youth Reactions to Creative Advertising Concepts Designed to Prevent Youth Tobacco Use among Multicultural Youth

Generic Clearance for the Collection of Qualitative Data on Tobacco Products and Communications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0796 can be found here:

Documents and Forms

Document Name Document Type
Addendum A - Instrument Pictures(Final).docx Other-Instrument Pictures
Addendum B - Creative Concept Stimuli(Final).doc Other-Creative Concept Stimuli
Addendum C - Photographs for Tobacco Discussion(Final).pptx Other-Photographs for Tobacco Discus
Addendum D - Facts for Discussion(Final).docx Other-Facts for Discussion
Check-In Survey (Final).pdf Other-Check-In Survey
Creative Concept Survey(Final).docx Other-Creative Concept Survey
Moderator Guide(Final).docx Other-Moderator Guide
Parental Consent Form (RETAIN)(Final).doc Other-Parental Consent Form (Retain)
Parental Consent Form (RETURN)(Final).doc Other-Parental Consent Form (Return)
Parental Opt-Out(Final).doc Other-Parental Opt-Out
Participant Assent Form (RETAIN)(Final).doc Other-Participant Assent Form (Retai
Participant Assent Form (RETURN)(Final).doc Other-Participant Assent Form (Retur
Screener Script(Final).docx Other-Screener Script
Screener(Final).pdf Other-Screener
OMB Justification Memo.docx Supporting Statement Memo IC Document

Information Collection (IC) Details

IC Title:	Focus Group Study of Youth Reactions to Creative Advertising Concepts Designed to Prevent Youth Tobacco Use among Multicultural Youth	Agency IC Tracking Number:	CTP

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Instrument Pictures	Addendum A - Instrument Pictures(Final).docx	No	Printable Only
Other-Creative Concept Stimuli	Addendum B - Creative Concept Stimuli(Final).doc	No	Printable Only
Other-Photographs for Tobacco Discussion	Addendum C - Photographs for Tobacco Discussion(Final).pptx	No	Printable Only
Other-Facts for Discussion	Addendum D - Facts for Discussion(Final).docx	No	Printable Only
Other-Check-In Survey	Check-In Survey (Final).pdf	No	Printable Only
Other-Creative Concept Survey	Creative Concept Survey(Final).docx	No	Printable Only
Other-Moderator Guide	Moderator Guide(Final).docx	No	Printable Only
Other-Parental Consent Form (Retain)	Parental Consent Form (RETAIN)(Final).doc	No	Printable Only
Other-Parental Consent Form (Return)	Parental Consent Form (RETURN)(Final).doc	No	Printable Only
Other-Parental Opt-Out	Parental Opt-Out(Final).doc	No	Printable Only
Other-Participant Assent Form (Retain)	Participant Assent Form (RETAIN)(Final).doc	No	Printable Only
Other-Participant Assent Form (Return)	Participant Assent Form (RETURN)(Final).doc	No	Printable Only
Other-Screener Script	Screener Script(Final).docx	No	Printable Only
Other-Screener	Screener(Final).pdf	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	870	870
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Memo	OMB Justification Memo.docx	10/15/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.