Formative Research Support: Outcomes and Awareness Measurement Research

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

OMB: 0910-0810

IC ID: 252955

Documents and Forms
Document Name
Document Type
Other-Parental permission form wave
Other-Parental permission form wave
Other-Parental permission form wave
Other-Parental permission form wave
Other-Online survey youth assent for
Other-Online survey youth assent for
Other-Online survey youth assent for
Other-Online survey youth assent for
Other-Study communication
Other-Study communication
Other-Survey wave 1
Other-Survey wave 1
Other-Survey wave 2
Other-Survey wave 2
Other-IRB approval
Other-IRB approval
Other-Photos athlete wave 1
Other-Photos athlete wave 1
Other-Video athlete 6 seconds wave 1
Other-Video athlete 6 seconds wave 1
Other-Video athlete 15 seconds wave
Other-Video athlete 15 seconds wave
Other-Photo macroscopic metals wave
Other-Photo macroscopic metals wave
Other-Video macroscopic metals 6 sec
Other-Video macroscopic metals 6 sec
Other-Video macroscopic metals 15 se
Other-Video macroscopic metals 15 se
Other-Photos scary enough wave 1
Other-Photos scary enough wave 1
Other-Video #1 scary enough 6 second
Other-Video #1 scary enough 6 second
Other-Video #2 scary enough 6 second
Other-Video #2 scary enough 6 second
Other-Video scary enough 15 seconds
Other-Video scary enough 15 seconds
Other-Photos ENDS possessed wave 2
Other-Photos ENDS possessed wave 2
Other-Video ENDS possessed 6 seconds
Other-Video ENDS possessed 6 seconds
Other-Video ENDS possessed 15 second
Other-Video ENDS possessed 15 second
Other-Photos lil bro wave 2
Other-Photos lil bro wave 2
Other-Video lil bro 6 seconds wave 2
Other-Video lil bro 6 seconds wave 2
Other-Video lil bro 15 seconds wave
Other-Video lil bro 15 seconds wave
Other-Photos science experiment wave
Other-Photos science experiment wave
Other-Video science experiment 6 sec
Other-Video science experiment 6 sec
Other-Video science experiment 15 se
Other-Video science experiment 15 se
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Formative Research Support: Outcomes and Awareness Measurement Research
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Parental permission form wave 1 Appendix A FRS Parental Permission Form_Wave 1_ 4-19-2022.pdf Yes Yes Fillable Fileable
Other-Parental permission form wave 2 Appendix B FRS Parental Permission Form_Wave 2 4-19-2022.pdf Yes Yes Fillable Fileable
Other-Online survey youth assent form wave 1 Appendix C FRS Online Survey Youth Assent Form_Wave 1_4-19-2022.pdf Yes Yes Fillable Fileable
Other-Online survey youth assent form wave 2 Appendix D FRS Online Survey Youth Assent Form_Wave 2 4-19-2022.pdf Yes Yes Fillable Fileable
Other-Study communication Appendix E - Lightspeed Generic Study Communication.png Yes Yes Fillable Fileable
Other-Survey wave 1 Appendix F FRS Awareness and Outcomes Survey_Wave 1 4-19-2022.pdf Yes Yes Fillable Fileable
Other-Survey wave 2 Appendix G FRS Awareness and Outcomes Survey_Wave 2_4-19-2022.pdf Yes Yes Fillable Fileable
Other-IRB approval IRB_for_STUDY FRS Parental Permission 4-19-2022.pdf Yes No Printable Only
Other-Photos athlete wave 1 AIP Athlete_2X3_collage.PNG Yes No Printable Only
Other-Video athlete 6 seconds wave 1 AIP Athlete_6sec.mp4 Yes No Printable Only
Other-Video athlete 15 seconds wave 1 AIP Athlete_15sec.mp4 Yes No Printable Only
Other-Photo macroscopic metals wave 1 Macroscopic Metals_2X3_collage.PNG Yes No Printable Only
Other-Video macroscopic metals 6 seconds wave 1 Macroscopic Metals_6sec.mp4 Yes No Printable Only
Other-Video macroscopic metals 15 seconds wave 1 Macroscopic Metals_15sec.mp4 Yes No Printable Only
Other-Photos scary enough wave 1 Scary enough_2X3_collage.PNG Yes No Printable Only
Other-Video #1 scary enough 6 seconds wave 1 Scary enough_6sec_1.mp4 Yes No Printable Only
Other-Video #2 scary enough 6 seconds wave 1 Scary enough_6sec_2.mp4 Yes No Printable Only
Other-Video scary enough 15 seconds wave 1 Scary enough_15sec.mp4 Yes No Printable Only
Other-Photos ENDS possessed wave 2 ENDS Possessed_2X3_collage.PNG Yes No Printable Only
Other-Video ENDS possessed 6 seconds wave 2 ENDS_Possessed_6sec.mp4 Yes No Printable Only
Other-Video ENDS possessed 15 seconds wave 2 ENDS Possessed_15sec.mp4 Yes No Printable Only
Other-Photos lil bro wave 2 Lil Bro_2X3_collage.PNG Yes No Printable Only
Other-Video lil bro 6 seconds wave 2 Lil Bro_6sec.mp4 Yes No Printable Only
Other-Video lil bro 15 seconds wave 2 Lil Bro_15sec.mp4 Yes No Printable Only
Other-Photos science experiment wave 2 Science Experiment_2X3_collage.PNG Yes No Printable Only
Other-Video science experiment 6 seconds wave 2 Science Experiment_6sec.mp4 Yes No Printable Only
Other-Video science experiment 15 seconds wave 2 Science Experiment_15sec.mp4 Yes No Printable Only

Health Consumer Health and Safety

 

21,267 0
   
Individuals or Households
 
   100 %

  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 21,267 0 0 0 0 21,267
Annual IC Time Burden (Hours) 2,749 0 0 0 0 2,749
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A SS Part A FRS Outcomes and Awareness 4-19-2022.pdf 04/20/2022
Supporting Statement Part B SS Part B FRS Outcomes and Awareness 4-19-2022.pdf 04/20/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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