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The Real Cost General Market: Wave 4 Creative Concept Testing Designed to Prevent Youth ENDS Use
Generic Clearance for the Collection of Qualitative Data on Tobacco Products and Communications
OMB: 0910-0796
IC ID: 229054
OMB.report
HHS/FDA
OMB 0910-0796
ICR 201411-0910-007
IC 229054
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Concept Ranking Sheet.docx
Other-Concept Ranking Sheet
Concept Rating Sheet.docx
Other-Concept Ranking Sheet 2
Discussion Guide-Final.doc
Other-Discussion Guide-Final
ENDS stimuli.docx
Other-ENDS stimuli
Parental Permission Form.docx
Other-Parental Permission Form
Screener.docx
Other-Screener
Youth Assent Form.docx
Other-Youth Assent Form
OMB Memo General Market Youth Tobacco Wave 4.docx
OMB Memo
IC Document
FDA_IRB Letter.docx
FDA_IRB Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
The Real Cost General Market: Wave 4 Creative Concept Testing Designed to Prevent Youth ENDS Use
Agency IC Tracking Number:
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-Parental Permission Form
Parental Permission Form.docx
No
Paper Only
Other-Screener
Screener.docx
Yes
Yes
Fillable Fileable Signable
Other-Youth Assent Form
Youth Assent Form.docx
No
Paper Only
Other-Concept Ranking Sheet
Concept Ranking Sheet.docx
No
Paper Only
Other-Concept Ranking Sheet 2
Concept Rating Sheet.docx
No
Paper Only
Other-Discussion Guide-Final
Discussion Guide-Final.doc
No
Paper Only
Other-ENDS stimuli
ENDS stimuli.docx
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:
1,152
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
1,152
0
1,152
0
0
0
Annual IC Time Burden (Hours)
387
0
387
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
OMB Memo General Market Youth Tobacco Wave 4.docx
11/15/2017
FDA_IRB Letter
FDA_IRB Letter.docx
11/15/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.