Adult - Survey

Experimental Study on Measuring Consumer Comprehension of Displays of Harmful and Potentially Harmful Constituents (HPHCs) in Tobacco Products and Tobacco Smoke

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0880 can be found here:

Documents and Forms

Document Name Document Type
Appendix G HPHC2 Online Survey Adult Consent Form_CLEAN_3.20.docx Other-Online Survey Adult Consent Fo
Appendix K HPHC2 Online Survey Questionnaire_CLEAN_3.20.docx Other-Online Survey Questionnaire
Appendix Q HPHC2 Online Survey Adult Reminder Email_CLEAN_2.20.docx Other-Online Survey Adult Invitation

Information Collection (IC) Details

IC Title:	Adult - Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online Survey Questionnaire	Appendix K HPHC2 Online Survey Questionnaire_CLEAN_3.20.docx	Yes	Yes	Fillable Fileable Signable
Other-Online Survey Adult Invitation Reminder Email	Appendix Q HPHC2 Online Survey Adult Reminder Email_CLEAN_2.20.docx	Yes	Yes	Fillable Printable
Other-Online Survey Adult Consent Form	Appendix G HPHC2 Online Survey Adult Consent Form_CLEAN_3.20.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,300	300	3,000
Annual IC Time Burden (Hours)	1,100	100	1,000
Annual IC Cost Burden (Dollars)	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.