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Information Collection

National Adult Tobacco Survey Screener - Landline

IC 190630 under ICR 201309-0920-003 · OMB 0920-0828.

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

View Information Collection (IC)

National Adult Tobacco Survey Screener - Landline
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction I-1 Landline Screener.docx Yes Yes Printable Only
Instruction H-1 Landline Screener.docx Yes Yes Printable Only

Health Illness Prevention

 

125,000 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 125,000 0 0 0 0 125,000
Annual IC Time Burden (Hours) 4,167 0 0 0 0 4,167
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.