Information Collection Request

Next Series of Tobacco Use Supplements to the Current Population Survey (TUS-CPS) (NCI)

ICR 201002-0925-002 · OMB 0925-0368 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3 Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS) Form and Instruction Modified Available
Form 1 2011 Follow-Up Questionnaire (TUS-CPS) Form and Instruction New Available
TUSCPS_SSB_1-12-10.doc Supporting Statement B Uploaded 2010-01-15 Available
ATTACHMENT 13_Public Comment Response.pdf Supplementary Document Uploaded 2010-01-04 Available
Cover Memo_TUS-CPS.doc Supplementary Document Uploaded 2010-01-04 Available
ATTACHMENT 11 Brochure.pdf Supplementary Document Uploaded 2010-01-04 Available
ATTACHMENT 10_Sample Design and Methodology.doc Supplementary Document Uploaded 2010-01-04 Available
ATTACHMENT 9_ Letter of Exemption to 45 CFR 46.pdf Supplementary Document Uploaded 2010-01-04 Available
Attachment 8 _Non-applicability Privacy Act.pdf Supplementary Document Uploaded 2010-01-04 Available
ATTACHMENT 7_Confidentiality Brochure.pdf Supplementary Document Uploaded 2010-01-04 Available
ATTACHMENT 6_CPS Advance Letter & FAQs.pdf Supplementary Document Uploaded 2010-01-04 Available
ATTACHMENT 5A and 5B_Experts Consulted.doc Supplementary Document Uploaded 2010-01-04 Available
ATTACHMENT 4_TUS-CPS Publications_vers 9-17-09.docx Supplementary Document Uploaded 2010-01-04 Available
ATTACHMENT 3B_Interagency Agreement with May 2011.pdf Supplementary Document Uploaded 2010-01-04 Available
ATTACHMENT 3A_Interagency Agreement.pdf Supplementary Document Uploaded 2010-01-04 Available
TUSCPS_SSA_1-12-10.doc Supporting Statement A Uploaded 2010-01-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7287 Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS) Form and Instruction Modified
191981 2011 Follow-Up Questionnaire (TUS-CPS) Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2013 36 Months From Approved
105,000 0 0
15,000 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS) 3, 2 TUS-CPS Q Spanish ,   TUS-CPS Q
2011 Follow-Up Questionnaire (TUS-CPS) 1 May 2011 Follow Up Q

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 105,000 0 0 105,000 0 0
Annual Time Burden (Hours) 15,000 0 0 15,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No