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National Network of Tobacco Cessation Quitlines Evaluation

IC 45695 under ICR 200610-0925-003 · OMB 0925-0576.

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National Network of Tobacco Cessation Quitlines Evaluation
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 3 Vendor Attachment 2c Vendor.doc No No Paper Only
Form 1 Partner Survey Attachment 2d partner instrument.doc No No Paper Only
Form 2 State Quitline Attachment 2a state TCM instrument.doc No No Paper Only
Form 4 Rep Attachment 2e NAQC rep.doc No No Paper Only
Form 5 SQ Attachment 2b QA instrument.doc No No Paper Only


 

228 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 228 0 228 0 0 0
Annual IC Time Burden (Hours) 171 0 171 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 3 letter Attachment 3 letter.doc 10/16/2006
Attachment 6a confidentiality Attachment 6a confidentiality.doc 10/16/2006
Attachment 4 IRB Attachment 4 IRB.doc 10/16/2006
Attachment 6b system of records Attachment 6b system of records.doc 10/16/2006
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.