Intake Data for Web Clients

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

OMB: 0920-0917

IC ID: 199078

Information Collection (IC) Details

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Intake Data for Web Clients
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Intake Data for Web Clients Appendix 5b_Intake Data for Web Services Clients_81111.docx Yes Yes Fillable Fileable

Health Immunization Management

 

2 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 8 0 8 0 0 0
Annual IC Time Burden (Hours) 2 0 2 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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