Comparing the Effectiveness of the Traditional Evidence-based Tobacco Cessation Interventions to Newer and Innovative Interventions Used by Comprehensive Cancer Control Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Follow-up Survey for Web Clients	Form	New	Available
Follow-up Survey for Quitline Clients	Form	New	Available
Intake Data for Web Clients	Form	New	Available
Intake Data for Quitline Clients	Form	New	Available
OMB_QLCER_Promotion_and_Cessation_Study_SSB_081111.docx	Supporting Statement B	Uploaded 2011-08-17	Available
Appendix 09_ Selected States for Cessation Component updated 082211.docx	Supplementary Document	Uploaded 2011-08-24	Available
Appendix 11_IRB Documenation.pdf	Supplementary Document	Uploaded 2011-08-17	Available
Appendix 10_References.docx	Supplementary Document	Uploaded 2011-08-17	Available
Appendix 08_Lead_Letter_for_Follow-up_Data_Collection_061311.docx	Supplementary Document	Uploaded 2011-08-17	Available
Appendix 07_Follow-up_Data_Collection_Consent_Form_061311.docx	Supplementary Document	Uploaded 2011-08-17	Available
Appendix 03_Overall Study Flowchart 060311.docx	Supplementary Document	Uploaded 2011-08-17	Available
Appendix 02b_Summary of Public Comments and CDC Response_081011.docx	Supplementary Document	Uploaded 2011-08-17	Available
Appendix 02a_Federal Register Notice.pdf	Supplementary Document	Uploaded 2011-08-17	Available
Appendix 01b_ARRA of 2009.pdf	Supplementary Document	Uploaded 2011-08-17	Available
Appendix 01a_Authorizing Legislation PHSA.docx	Supplementary Document	Uploaded 2011-08-17	Available
OMB_QLCER_Promotion_and_Cessation_Study_SSA_081211.docx	Supporting Statement A	Uploaded 2011-08-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
199080	Follow-up Survey for Web Clients	Form	New	Follow-up Survey for Web Clients
199079	Follow-up Survey for Quitline Clients	Form	New	Follow-up Survey for Quitline Clients
199078	Intake Data for Web Clients	Form	New	Intake Data for Web Clients
199077	Intake Data for Quitline Clients	Form	New	Intake Data for Quitline Clients
199076	Quitline Promotional Activities	Instruction	New

ICR Details

OMB Control No: 0920-0917	ICR Reference No: 201108-0920-012
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Comparing the Effectiveness of the Traditional Evidence-based Tobacco Cessation Interventions to Newer and Innovative Interventions Used by Comprehensive Cancer Control Programs
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/19/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/30/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	30 Months From Approved
Responses	4,216	0	0
Time Burden (Hours)	1,037	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The study's cessation component will examine the comparative effectiveness of Web-bsed interventions and traditional telephone-based counseling services offered through Quitlines. The promotional activities component will examine various QL promotional strategies and QL client demographics.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
   PL: Pub.L. 111 - 5 VIII Name of Law: American Recover and Reinvestment Act of 2009
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 34995	06/15/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 51984	08/19/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Follow-up Survey for Quitline Clients	none	Follow-up Survey for Quitline Clients
Follow-up Survey for Web Clients	none	Follow-up Survey for Web Clients
Intake Data for Quitline Clients	none	Intake Data for Quitline Clients
Intake Data for Web Clients	none	Intake Data for Web Clients
Quitline Promotional Activities

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ICR Summary of Burden

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	4,216	0	0	4,216	0	0
Annual Time Burden (Hours)	1,037	0	0	1,037	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR - it is ARRA related.

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Annual Cost to Federal Government: $1,128,804

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/30/2011

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