PRIMARY PREVENTION (SMOKING) OF CANCER IN BLACK POPULATIONS: PHYSICIAN DELIVERED INTERVENTION

ICR 198906-0925-009

OMB: 0925-0325

Federal Form Document

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Status
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ICR Details
0925-0325 198906-0925-009
Historical Active 198806-0925-001
HHS/NIH
PRIMARY PREVENTION (SMOKING) OF CANCER IN BLACK POPULATIONS: PHYSICIAN DELIVERED INTERVENTION
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/16/1989
Approved with change 06/16/1989
Retrieve Notice of Action (NOA) 06/16/1989
  Inventory as of this Action Requested Previously Approved
07/31/1991 07/31/1991 07/31/1991
813 0 813
201 0 201
0 0 0

A PHYSICIAN DELIVERED SMOKI CESSATION PROGRAM WILL BE ASSESSED USING IN-PERSONS INTERVIEWS AND TELEPHONE SURVEYS ALONG WITH CHEMICAL VALIDATION OF SMOKING CESSATION. THE DATA WILL HELP GUIDE NCI'S NATIONAL CANCER PREVENTION AND CONTROL PROGRAM AND PROVIDE NEEDED INFORMATION TO ASSESS THE EFFECTIVENESS OF PHYSICIAN DELIVERED SMOKING CESSATION PROGRAM IN THE BLACK POPULATION WHICH IS DISPROPORTIONATELY EFFECTED BY CANCER MORTALITY.

None
None


No

1
IC Title Form No. Form Name
PRIMARY PREVENTION (SMOKING) OF CANCER IN BLACK POPULATIONS: PHYSICIAN DELIVERED INTERVENTION

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 813 813 0 0 0 0
Annual Time Burden (Hours) 201 201 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/16/1989


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