Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0810 can be found here:

Documents and Forms

Document Name Document Type
Attachment A - Invitation and Parental Permission Form.docx Other-Attachment A - Invitation and
Attachment B - Invitation and Youth Assent Form.docx Other-Attachment B - Invitation and
Attachment C - Screener.docx Other-Screener
Attachment D - Survey.docx Other-Survey
Copy of Attachment E - Facts to be Tested.xls Other-Facts to be Tested
GfK-Privacy-Protections-Doc.pdf Other-Privacy Protections Document
Part A SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging).docx Part A SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging) IC Document
Part B SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging).docx Part B SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging) IC Document

Information Collection (IC) Details

IC Title:	Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging	Agency IC Tracking Number:	CTP

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment A - Invitation and Parental Permission Form	Attachment A - Invitation and Parental Permission Form.docx	Yes	Yes	Fillable Fileable
Other-Attachment B - Invitation and Youth Assent Form	Attachment B - Invitation and Youth Assent Form.docx	Yes	Yes	Fillable Fileable
Other-Screener	Attachment C - Screener.docx	Yes	Yes	Fillable Fileable
Other-Survey	Attachment D - Survey.docx	Yes	Yes	Fillable Fileable
Other-Facts to be Tested	Copy of Attachment E - Facts to be Tested.xls	No		Printable Only
Other-Privacy Protections Document	GfK-Privacy-Protections-Doc.pdf	No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,251	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	6,251	6,251
Annual IC Time Burden (Hours)	1,746	1,746
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Part A SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging)	Part A SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging).docx	03/24/2016
Part B SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging)	Part B SS (Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging).docx	03/24/2016

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