Information Collection

Human Smoking Behavior Study

IC 46217 under ICR 200611-0920-009 · OMB 0920-0736.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0736 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment C Visits 1 and 2 survey.doc	Other-Other

IC Title:

Human Smoking Behavior Study

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other			Attachment C Visits 1 and 2 survey.doc		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	360	360
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.