National Adult Tobacco Survey Screener

National Adult Tobacco Survey

OMB: 0920-0828

IC ID: 190631

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Information Collection (IC) Details

View Information Collection (IC)

National Adult Tobacco Survey Screener
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction H-2 Cell Phone Screener.docx Yes Yes Fillable Printable
Instruction I-2 Cell Phone Screener.docx Yes Yes Printable Only

Health Illness Prevention

 

41,000 0
   
Individuals or Households
 
   0 %

  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 41,000 0 41,000 0 0 0
Annual IC Time Burden (Hours) 683 0 683 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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