Information Collection

Survey To Assess The Prevalence, Attitudes, Knowledge, And Beliefs About Smoking Behavior Among The Adult Population

IC 112401 under ICR 198511-0937-002 · OMB 0937-0160.

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Information Collection (IC) Details

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IC Title:	SURVEY TO ASSESS THE PREVALENCE, ATTITUDES, KNOWLEDGE, AND BELIEFS ABOUT SMOKING BEHAVIOR AMONG THE ADULT POPULATION	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,100	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
Annual Number of Responses for this IC	12,100	12,100
Annual IC Time Burden (Hours)	6,050	6,050
Annual IC Cost Burden (Dollars)	0	0

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