Point-of-Sale Campaign: Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Encourage Adult Smokers to Quit Smoking

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⚠️ Notice: This information collection may be referencing outdated material.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_Informed Consent Form.docx Other-Informed Consent Form
Attachment B_Screener.docx Other-Screener
Attachment C_Copy Testing Questionnaire.docx Other-Copy Testing Questionnaire
Attachment D_ Advertisement Stimuli 1.pdf Other-Advertisement Stimuli 1
Attachment D_ Advertisement Stimuli 2.pdf Other-Advertisement Stimuli 2
Attachment F_Recruitment Email Script.docx Other-Recruitment Email Script
Part A - Quantitative Supporting Statement (POS Campaign).docx Part A - Quantitative Supporting Statement (POS Campaign) IC Document
Part B - Quantitative Supporting Statement (POS Campaign).docx Part B - Quantitative Supporting Statement (POS Campaign) IC Document
Attachment E_IRB Approval Letter.pdf IRB Approval Letter IC Document

Information Collection (IC) Details

IC Title:	Point-of-Sale Campaign: Online Quantitative Study of Reactions to Rough-Cut Advertising Designed to Encourage Adult Smokers to Quit Smoking	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-Informed Consent Form	Attachment A_Informed Consent Form.docx	Yes	Yes	Fillable Fileable
Other-Screener	Attachment B_Screener.docx	Yes	Yes	Fillable Fileable
Other-Copy Testing Questionnaire	Attachment C_Copy Testing Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Advertisement Stimuli 1	Attachment D_ Advertisement Stimuli 1.pdf	No		Printable Only
Other-Advertisement Stimuli 2	Attachment D_ Advertisement Stimuli 2.pdf	No		Printable Only
Other-Recruitment Email Script	Attachment F_Recruitment Email Script.docx	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,816	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	8,816	8,816
Annual IC Time Burden (Hours)	1,305	1,305
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Part A - Quantitative Supporting Statement (POS Campaign)	Part A - Quantitative Supporting Statement (POS Campaign).docx	09/19/2016
Part B - Quantitative Supporting Statement (POS Campaign)	Part B - Quantitative Supporting Statement (POS Campaign).docx	09/19/2016
IRB Approval Letter	Attachment E_IRB Approval Letter.pdf	09/19/2016

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