Information Collection Request

National Network of Tobacco Censation Quitlines Evaluation

ICR 200610-0925-003 · OMB 0925-0576 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5 SQ Form New Available
Form 4 Rep Form New Available
Form 2 State Quitline Form New Available
Form 1 Partner Survey Form New Available
Form 3 Vendor Form New Repair queued
Responses to passback questions 2006.doc Supplementary Document Uploaded 2006-12-14 Available
B.doc Supporting Statement B Uploaded 2006-10-16 Available
NCI.doc Supporting Statement A Uploaded 2006-10-16 Available

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2009 36 Months From Approved
228 0 0
171 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
National Network of Tobacco Cessation Quitlines Evaluation 3, 1, 2, 4, 5 ,   ,   ,   ,  

table that charts list of burden
  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 228 0 0 228 0 0
Annual Time Burden (Hours) 171 0 0 171 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No