Information Collection

Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS)

IC 7287 under ICR 201404-0925-002 · OMB 0925-0368.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS)	Form and Instruction
3 TUS-CPS Q Spanish ATTACHMENT 12 Spanish Translation.pdf	Form and Instruction
2 TUS-CPS Q ATTACHMENT 1_TUS-CPS Q 1-12-10 updt fnl rv4.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	TUS-CPS Q Spanish	ATTACHMENT 12 Spanish Translation.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	TUS-CPS Q	ATTACHMENT 1_TUS-CPS Q 1-12-10 updt fnl rv4.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	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	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
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.