Youth 1st, 2nd, 3rd and 4th Follow-Up Questionnaire (Experimenter and Non-Trier)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0753 can be found here:

Documents and Forms

Document Name Document Type
Attachment 6_E1c. Youth Assent under 18 ExPECTT.doc Other-Youth Assent under 18 ExPECTT
Attachment 6_E1d. Youth Consent 18 and up ExPECTT.doc Other-Youth Consent 18 and up ExPECT
Attachment 6_E1a. Routing for Consent ExPECTT.doc Other-Routing for Consent ExPECTT
Attachment 2_E1. Youth Follow-up Instrument ExPECTT.doc Other-Youth Follow-up Instrument ExP

Information Collection (IC) Details

IC Title:	Youth 1st, 2nd, 3rd and 4th Follow-Up Questionnaire (Experimenter and Non-Trier)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Youth Assent under 18 ExPECTT	Attachment 6_E1c. Youth Assent under 18 ExPECTT.doc	No		Printable Only
Other-Youth Consent 18 and up ExPECTT	Attachment 6_E1d. Youth Consent 18 and up ExPECTT.doc	No		Paper Only
Other-Routing for Consent ExPECTT	Attachment 6_E1a. Routing for Consent ExPECTT.doc	Yes	Yes	Fillable Fileable
Other-Youth Follow-up Instrument ExPECTT	Attachment 2_E1. Youth Follow-up Instrument ExPECTT.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,666	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-6,666	6,666
Annual IC Time Burden (Hours)	-5,000	5,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.