Outcome Follow-up Questionnaire in Person

Food and Drug Administration's Research and Evaluation Survey for the Public Education Campaign on Tobacco among LGBT (RESPECT)

OMB: 0910-0808

IC ID: 218389

Documents and Forms
Document Name
Document Type
Other-Follow Up
Other-Screener
Other-Longitudinal Screener Inf Con
Other- CrossSectional Survey Inf Con
Other-Longitudinal Survey Inf Con
Information Collection (IC) Details

View Information Collection (IC)

Outcome Follow-up Questionnaire in Person
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Follow Up Attachment 2 Survey Instrument_FU3.docx Yes Yes Fillable Fileable
Other-Screener Attachment 13 Longitudinal Screener_FU3.docx Yes Yes Fillable Printable
Other-Longitudinal Screener Inf Con Attachment 14 Longitudinal Screener Inf Con FU3.docx Yes Yes Fillable Printable
Other- CrossSectional Survey Inf Con Attachment 6a CrossSectional Survey Inf Con_FU3.docx Yes Yes Fillable Printable
Other-Longitudinal Survey Inf Con Attachment 6b Longitudinal Survey Inf Con_FU3.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

2,364 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 2,364 0 0 0 0 2,364
Annual IC Time Burden (Hours) 1,578 0 0 0 0 1,578
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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