Att D-2b. Nonsmoker Survey_Screenshots Rev Dec28 v2

Form Approved
OMB No. 0920-0923
Exp. Date: 2/28/2013

Evaluation of the National Tobacco Prevention and Control
Public Education Campaign
Non-Smoker Phase 2 Follow-Up Questionnaire
Public reporting burden of this collection of information is estimated to average 25 minutes
per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. An agency may not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a currently valid OMB
control number. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to CDC/ATSDR
Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333;
ATTN: PRA (0920-0923).

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