PATH/Baseline- Adults -Tobacco Use Form

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

OMB: 0925-0664

IC ID: 203759

Information Collection (IC) Details

View Information Collection (IC)

PATH/Baseline- Adults -Tobacco Use Form
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Tobacco Use Form 3e - English. PATH Wave 1 Tobacco Use Form 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

42,730 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 0 0 -42,730 0 0 42,730
Annual IC Time Burden (Hours) 0 0 -2,849 0 0 2,849
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
3e 3e. Spanish. PATH Wave 1 Tobacco Use Form 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.

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