Information Collection Request

Next Series of Tobacco Use Supplements to the Current Population Survey (TUS-CPS) (NCI)

ICR 201404-0925-002 · OMB 0925-0368 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 TUS-CPS Q Form and Instruction Removed Available
Form 3 TUS-CPS Q Spanish Form and Instruction Removed Available
Form 1 Main 2014-2015 Tobacco Use Supplement Questionnaire Form New Available
Form 1-Rev Revised 2014-2015 TUS-CPS Form Form and Instruction New Available
Form 2 TUS-CPS May 2011 Questionnaire Final Form and Instruction Removed Available
Form 1 May 2011 Follow Up Q Form and Instruction Removed Available
TUS-CPS Cover Memo for OMB Final (passbacks).docx Supplementary Document Uploaded 2014-06-24 Available
ASPE Original Comments Feb 2014.docx Supplementary Document Uploaded 2014-04-28 Available
ASPE Comments_NCI-Response_4-3-14_2014 TUS.docx Supplementary Document Uploaded 2014-04-28 Available
Memo For Timely Review_1-6-2014.docx Supplementary Document Uploaded 2014-04-28 Available
Cover Letter Memo TUS-CPS_4-3-2014.docx Supplementary Document Uploaded 2014-04-28 Available
SSB_TUS-CPS_4-28-14.doc Supporting Statement B Uploaded 2014-04-28 Available
REVISED SSA_TUS-CPS Final.docx Supporting Statement A Uploaded 2014-06-24 Available
A13_TUSBrochure2014.pdf Supplementary Document Uploaded 2014-04-28 Available
A12_DesignOverview.docx Supplementary Document Uploaded 2014-04-28 Available
A11_Respondent Universe_REV.doc Supplementary Document Uploaded 2014-04-28 Available
A10_TabulationPlans.doc Supplementary Document Uploaded 2014-04-28 Available
A9_OHSRP Review_1stPage.pdf Supplementary Document Uploaded 2014-04-28 Available
A8.2_PrivacyActMemo.pdf Supplementary Document Uploaded 2014-04-28 Available
A8.1 _Non-applicability Privacy Act.pdf Supplementary Document Uploaded 2014-04-28 Available
A7_ConfidentialBrochure.pdf Supplementary Document Uploaded 2014-04-28 Available
A6_CPS-Advance-Letter.pdf Supplementary Document Uploaded 2014-04-28 Available
A5_Experts Consulted_12-20_2013.doc Supplementary Document Uploaded 2014-04-28 Available
A4_Comparison of Key Features_4-2-14.pdf Supplementary Document Uploaded 2014-04-28 Available
A3_PIA-TUS-CPS.pdf Supplementary Document Uploaded 2014-04-28 Available
A2_Reports Publications_1-2-14.doc Supplementary Document Uploaded 2014-04-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7287 Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS) Form and Instruction RemovedTUS-CPS Q
7287 Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS) Form and Instruction RemovedTUS-CPS Q Spanish
211374 Individuals Form NewMain 2014-2015 Tobacco Use Supplement Questionnaire
211374 Individuals Form and Instruction NewRevised 2014-2015 TUS-CPS Form
191981 2011 Follow-Up Questionnaire (TUS-CPS) Form and Instruction RemovedTUS-CPS May 2011 Questionnaire Final
191981 2011 Follow-Up Questionnaire (TUS-CPS) Form and Instruction RemovedMay 2011 Follow Up Q

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2016 24 Months From Approved
127,500 0 0
12,750 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
2011 Follow-Up Questionnaire (TUS-CPS) 1, 2 ,  
Individuals 1, 1-Rev ,  
Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS) 3, 2 ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 127,500 0 0 127,500 0 0
Annual Time Burden (Hours) 12,750 0 0 12,750 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No