National Network of Tobacco Cessation Quitlines Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 National Network of Tobacco Cessation Quitlines Evaluation	Form	New	Repair queued
S.S.B.doc	Supporting Statement B	Uploaded 2006-10-05	Repair queued
Supporting Statement.doc	Supporting Statement A	Uploaded 2006-10-05	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45560	National Network of Tobacco Cessation Quitlines Evaluation	Form	New

ICR Details

OMB Control No:	ICR Reference No: 200610-0925-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Network of Tobacco Cessation Quitlines Evaluation
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/31/2006
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 11/09/2006
	Date Received in OIRA: 10/05/2006
Terms of Clearance: This ICR is being returned to NIH because it was improperly submitted as an emergency clearance request. NIH has already submitted a corrected ICR which OMB will review instead.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		6 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Findings from respondents, including state tobacco control officers and quitline administrators and partners, will be used to monitor implementation of the model of the NNTCQ Initiative, and effects on stateholders and quitline capacity.

Emergency Justfication: NIH/NCI requests Emergency Clearance to conduct an Evaluation of the National Network of Tobacco Cessation Quitlines Initiative. The Interagency Committee on Smoking and Health (ICSH) was established by Congress on April 19, 1985, under the authority of the Comprehensive Smoking Education Act for 1984, Public Law 98-474, (15 U.S.C. 1341(b)) ( PDF-1026K). This statute sets out broad purposes for the committee including: (1) coordinating the Department of Health and Human Services(HHS) research and educational programs and other activities that are related to the effect of smoking on human health with similar activities of other Federal, State, local, and private agencies; and (2) establishing and maintaining a liaison with appropriate private entities, other Federal agencies; and State and local public health agencies regarding activities related to the effects of smoking on human health. The committee reports to the Secretary, HHS, through the Assistant Secretary for Health and Surgeon General, and the Director, Centers for Disease Control and Prevention (CDC). The committee is staffed by CDC's Office on Smoking and Health.

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Authorizing Statute(s): US Code: 42 USC 412 Name of Law: PUBLIC HEALTH SERVICE ACT
   US Code: 43 USC 285 Name of Law: NCI Supportive programs
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 18	01/27/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 138	07/19/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
National Network of Tobacco Cessation Quitlines Evaluation	1, 2, 3, 4	Partner Survey ,   State Quitline ,   Vendor ,   Manager

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/05/2006

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