Form 1 May 2011 Follow Up Q

May 2011 Questionnaire for Tobacco Use Supplements to the Current Population Survey (TUS-CPS) (NCI)

ATTACHMENT 2_May 2011 F-UP Q 12-16-09

2011 Follow-Up Questionnaire (TUS-CPS)

OMB: 0925-0368

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ATTACHMENT #2

MAY 2011 Follow-up Questionnaire Items



OMB #: 0925-0368 Expires: April 2013 (expected date)




Public reporting burden for this collection of information is estimated to average 6 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: NIH Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0368). Do not return the completed form to this address.






The questions in the May 2011 Follow-Up questionnaire are expected to be a subset of those fielded in the main 2010-2011 TUS-CPS questionnaire (see Attachment # 1), resulting in an average of 6 minutes per response compared to the average of 9 minutes per response for the main 2010-2011 TUS-CPS. Unnecessary questions on smoking history already provided in May 2010 will not be repeated in the May 2011 fielding. There will be further streamlining to reduce burden. The final subset of questions from Attachment # 1 to be fielded in the May 2011 Follow-Up will be submitted at a later date as a change request.





File Typeapplication/msword
File TitleATTACHMENT #2
Authorstringers
Last Modified ByNCI
File Modified2009-12-30
File Created2009-12-17

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