CIS Telephone Customer Service Questions (Appendix 1A_REV)

Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI Cancer Information Service (CIS) Clients

OMB: 0925-0208

IC ID: 43626

Information Collection (IC) Details

View Information Collection (IC)

CIS Telephone Customer Service Questions (Appendix 1A_REV)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Telephone Customer Service Questions Appendix 1A_REV_Telephone Questions.doc Yes Yes Fillable Fileable

Health Illness Prevention

"Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD"  67 FR 60743

67,400 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 67,400 0 0 5,400 0 62,000
Annual IC Time Burden (Hours) 1,123 0 0 90 0 1,033
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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