2006 Hispanic/Latino Adult Tobacco Survey

ICR 200707-0920-007

OMB: 0920-0726

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2007-07-19
IC Document Collections
ICR Details
0920-0726 200707-0920-007
Historical Active 200603-0920-006
HHS/CDC
2006 Hispanic/Latino Adult Tobacco Survey
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/03/2007
Retrieve Notice of Action (NOA) 07/31/2007
  Inventory as of this Action Requested Previously Approved
08/31/2008 08/31/2008 08/31/2008
5,000 0 4,250
2,233 0 1,833
0 0 0

The purpose of this project is to develop and implement a culturally appropriate Adult Tobacco Survey among Hispanic/Latino subgroups in New York, Florida, and Texas.

None
None

Not associated with rulemaking

No

2
IC Title Form No. Form Name
2006 Hispanic/Latino Adult Tobacco Survey
Modification to El Paso Tx Survey instrument

  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 5,000 4,250 0 750 0 0
Annual Time Burden (Hours) 2,233 1,833 0 400 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Some of the questions originally approved were re-worded to make the survey easier to understand. Several questions were added as well.

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Catina Conner 4046394775

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/31/2007


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