NCI Cancer Information Service on Demographic and Smoking/Tobacco Use

ICR 200607-0925-004

OMB: 0925-0208

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0925-0208 200607-0925-004
Historical Active 200309-0925-002
HHS/NIH
NCI Cancer Information Service on Demographic and Smoking/Tobacco Use
Revision of a currently approved collection   No
Regular
Approved without change 09/19/2006
Retrieve Notice of Action (NOA) 07/07/2006
  Inventory as of this Action Requested Previously Approved
09/30/2009 36 Months From Approved 11/30/2006
49,400 0 405,900
1,823 0 1,951
0 0 0

NCI's Cancer Information Service will collect demographic and smoking information from a sample of telephone and online clients. There will be 49,400 respondents annually for a total of 1823 burden hours.

None
None


No

1
IC Title Form No. Form Name
NCI Cancer Information Service on Demographic and Smoking/Tobacco Use

  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 49,400 405,900 0 0 -356,500 0
Annual Time Burden (Hours) 1,823 1,951 0 0 -128 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.
07/07/2006


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