Follow-up Survey 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: 199080

Information Collection (IC) Details

View Information Collection (IC)

Follow-up Survey 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 Follow-up Survey for Web Clients Appendix 6b_Follow-up Survey for Web Clients_81111.docx Yes Yes Fillable Fileable

Health Immunization Management

 

2,000 0
   
Individuals or Households
 
   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 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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