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Cohort 2--Youth Aged 11 to 18
Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign
OMB: 0910-0753
IC ID: 222024
OMB.report
HHS/FDA
OMB 0910-0753
ICR 201907-0910-024
IC 222024
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0753 can be found here:
2022-04-07 - No material or nonsubstantive change to a currently approved collection
2020-09-23 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment 6_E2a. Routing for Consent ExPECTT.doc
Other-Routing for Consent ExPECTT
Attachment 6_E2d. Youth Consent 18 and up ExPECTT II.docx
Other-Youth Consent 18 and up ExPECT
Attachment 2. ExPECTT II Youth Instrument_2nd follow-up.docx
Other-ExPECTT II Youth Instrument 2n
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cohort 2--Youth Aged 11 to 18
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-Routing for Consent ExPECTT
Attachment 6_E2a. Routing for Consent ExPECTT.doc
Yes
Yes
Fillable Fileable
Other-Youth Consent 18 and up ExPECTT
Attachment 6_E2d. Youth Consent 18 and up ExPECTT II.docx
No
Paper Only
Other-ExPECTT II Youth Instrument 2nd follow-up
Attachment 2. ExPECTT II Youth Instrument_2nd follow-up.docx
Yes
Yes
Fillable Printable
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:
6,666
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
6,666
0
0
396
0
6,270
Annual IC Time Burden (Hours)
4,735
0
0
32
0
4,703
Annual IC Cost Burden (Dollars)
0
0
0
0
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.