Youth 1st, 2nd, 3rd Follow-Up Questionnaire (Experimenter and Non-Trier)

Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign

OMB: 0910-0753

IC ID: 208709

Documents and Forms
Document Name
Document Type
Other-Panel Maintenance Letter ExPEC
Other-Parent Permission ExPECTT
Other-Youth Assent Under 18 ExPECTT
Other-Youth Consent 18 and up ExPECT
Other-Routing for Consent ExPECTT
Other-Youth Follow-up ExPECTT
Other-Rationale for Changes to ExPEC
Other-Email Reminder 1
Other-Email Reminder 2
Other-Email Reminder 3
Other-Media Trackin ExPECTT
Other-Rantionale for Changes to ExPE
Information Collection (IC) Details

View Information Collection (IC)

Youth 1st, 2nd, 3rd Follow-Up Questionnaire (Experimenter and Non-Trier)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Panel Maintenance Letter ExPECTT Attachment 15_Panel Maintenance Letter ExPECTT 3 0910-0753.docx No   Paper Only
Other-Parent Permission ExPECTT Attachment 6b_Parent Permission ExPECTT 3 0910-0753.doc Yes Yes Fillable Fileable
Other-Youth Assent Under 18 ExPECTT Attachment 6c_Youth Assent under 18 ExPECTT 3 0910-0753.doc No   Paper Only
Other-Youth Consent 18 and up ExPECTT Attachment 6d_Youth Consent 18 and up ExPECTT 3 0910-0753.doc No   Paper Only
Other-Routing for Consent ExPECTT Attachment 6a_Routing for Consent ExPECTT 3 0910-0753.doc No   Printable Only
Other-Youth Follow-up ExPECTT Attachment 2_Youth Follow-up Instrument ExPECTT 3 0910-0753.doc Yes Yes Fillable Fileable
Other-Rationale for Changes to ExPECTT Rationale for Changes to ExPECTT 3 Instrument 0910-0753.docx Yes No Printable Only
Other-Email Reminder 1 Email_reminder1_ExPECTT 3 0910-0753.doc Yes Yes Fillable Fileable
Other-Email Reminder 2 Email_reminder2_ExPECTT 3 0910-0753.doc Yes Yes Fillable Fileable
Other-Email Reminder 3 Email_reminder3_ExPECTT 3 0910-0753.doc Yes Yes Fillable Fileable
Other-Media Trackin ExPECTT Attachment 4_Media Tracking Instrument ExPECTT 3 0910-0753.docx Yes Yes Fillable Fileable
Other-Rantionale for Changes to ExPECTT Rationale for Changes to ExPECTT 3 Media Tracking Instrument 0910-0753.docx No   Printable Only

Health Consumer Health and Safety

 

5,242 0
   
Individuals or Households
 
   100 %

  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 5,242 0 0 0 0 5,242
Annual IC Time Burden (Hours) 3,931 0 0 0 0 3,931
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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