PATH/Baseline - Adults Individual Screener

Population Assessment of Tobacco and Health (PATH) Study (NIDA)

OMB: 0925-0664

IC ID: 203756

Information Collection (IC) Details

View Information Collection (IC)

PATH/Baseline - Adults Individual Screener
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Individual Screener 3b - English. PATH Wave 1 Individual Screener 7.5 2013-06-10.pdf Yes Yes Fillable Fileable

Health Immunization Management

NIH Privacy Act System of Records 09-25-0200 Clinical, Basic Population-based research studies of NIH, HHS/NIH/OD  67 FR 60741

59,500 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 59,500 0 0 0 0 59,500
Annual IC Time Burden (Hours) 5,950 0 0 0 0 5,950
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
3b 3b. Spanish. PATH Wave 1 Individual Screener 7.5 2013-06-10.pdf 06/28/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy