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Point-of-Sale Creative Concept Testing – Focus Groups with Current Adult Smokers
Generic Clearance for the Collection of Qualitative Data on Tobacco Products and Communications
OMB: 0910-0796
IC ID: 220637
OMB.report
HHS/FDA
OMB 0910-0796
ICR 201411-0910-007
IC 220637
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0796 can be found here:
2024-07-05 - Extension without change of a currently approved collection
2022-11-22 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
POS Creative Concept Testing_Screener.docx
Other-Screener
POS Creative Concept Testing_Consent Form.docx
Other-Consent Form
POS Creative Concept Testing_Participant Rating Worksheet.pdf
Other-Participant Rating Worksheet
POS Creative Concept Testing_Discussion Guide.docx
Other-Discussion Guide
POS_Quit Journey Worksheet.docx
Other-Quit Journey Worksheet
POS Stimuli.pdf
Other-Stimuli
POS Creative Concept Testing_OMB Memo.doc
Supporting Statement Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Point-of-Sale Creative Concept Testing – Focus Groups with Current Adult Smokers
Agency IC Tracking Number:
CTP
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-Screener
POS Creative Concept Testing_Screener.docx
Yes
No
Fillable Printable
Other-Consent Form
POS Creative Concept Testing_Consent Form.docx
No
Paper Only
Other-Participant Rating Worksheet
POS Creative Concept Testing_Participant Rating Worksheet.pdf
No
Paper Only
Other-Discussion Guide
POS Creative Concept Testing_Discussion Guide.docx
No
Printable Only
Other-Quit Journey Worksheet
POS_Quit Journey Worksheet.docx
No
Printable Only
Other-Stimuli
POS Stimuli.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
512
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
512
0
512
0
0
0
Annual IC Time Burden (Hours)
278
0
278
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement Memo
POS Creative Concept Testing_OMB Memo.doc
03/16/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.