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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
OMB: 0910-0810
IC ID: 223487
OMB.report
HHS/FDA
OMB 0910-0810
ICR 201802-0910-012
IC 223487
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0810 can be found here:
2023-08-08 - No material or nonsubstantive change to a currently approved collection
2022-11-22 - No material or nonsubstantive change to a currently approved collection
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
View Information Collection (IC)
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:
Unchanged
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-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
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:
8,816
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
8,816
0
0
0
0
8,816
Annual IC Time Burden (Hours)
1,305
0
0
0
0
1,305
Annual IC Cost Burden (Dollars)
0
0
0
0
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.