Nicotine Education Project

Generic Clearance for the Collection of Quantitative Data on Tobacco Products and Communications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0810 can be found here:

Documents and Forms

Document Name Document Type
Appendix A NEP Online Survey Young Adult Consent Form.docx Other-Young Adult Consent Form
Appendix B NEP Online Survey Youth Assent Form.docx Other-Youth Assent Form
Appendix C NEP Online Survey.docx Other-Survey Instrument
IRB Approval NEP.pdf IRB Approval Document IC Document
OMB_Supporting Statement_Part A_NEP Clean 5.31.docx Supporting Statement A IC Document
OMB_Supporting Statement_Part B_NEP Clean 5.31.docx Supporting Statement B IC Document

Information Collection (IC) Details

IC Title:	Nicotine Education Project	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Young Adult Consent Form	Appendix A NEP Online Survey Young Adult Consent Form.docx	Yes	Yes	Fillable Fileable
Other-Youth Assent Form	Appendix B NEP Online Survey Youth Assent Form.docx	Yes	Yes	Fillable Fileable
Other-Survey Instrument	Appendix C NEP Online Survey.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,040	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,048	12,048
Annual IC Time Burden (Hours)	1,254	1,254
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IRB Approval Document	IRB Approval NEP.pdf	03/10/2022
Supporting Statement A	OMB_Supporting Statement_Part A_NEP Clean 5.31.docx	05/31/2022
Supporting Statement B	OMB_Supporting Statement_Part B_NEP Clean 5.31.docx	05/31/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.