Information Collection

Establishment of a Tobacco User Panel: Focus Group Study

IC 208867 under ICR 201404-0910-001 · OMB 0910-0497.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:

Documents and Forms

Document Name Document Type
Focus_Group_OMB_Collection_Instrument_Appendix_A_Final-092713.docx Other-Appendix
0497 Focus_Group_OMB_Justification_Memo.docx 0497 Focus_Group_OMB_Justification_Memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Establishment of a Tobacco User Panel: Focus Group Study	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix			Focus_Group_OMB_Collection_Instrument_Appendix_A_Final-092713.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	68	68
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0497 Focus_Group_OMB_Justification_Memo	0497 Focus_Group_OMB_Justification_Memo.docx	09/27/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.