National Tobacco Control Program Chronicle Progress Reporting System

Documents and Forms

Document Name Document Type
National Tobacco Control Program Chronicle Progress Reporting System Form and Instruction
Attachment 7 Screen shots Attachment 7 Screen shots.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Tobacco Control Program Chronicle Progress Reporting System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Attachment 7 Screen shots	Attachment 7 Screen shots.doc	none	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	102	0	102
Annual IC Time Burden (Hours)	816	204	612
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.