Assessment of the 2014 Best Practices Guide for Comprehensive Tobacco Control Programs

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Assessment of the 2014 Best Practices Guide for Comprehensive Tobacco Control Programs Form and Instruction
Best Practices Evaluation: Telephone Interview Guide Attachment A- Telephone Interview Guide.docx Form and Instruction
Attachment B- Invitation Email.docx Invitation Email IC Document
Attachment C- Confirmation Email.docx Confirmation Email IC Document
Attachment D- Reminder Email.docx Reminder Email IC Document
Attachment E- Follow Up Email.docx Follow-Up Email IC Document
BP-EVAL-SSA_Revised.docx Supporting Statement A IC Document
BP-EVAL-SSB.docx Supporting Statement B IC Document

Information Collection (IC) Details

IC Title:	Assessment of the 2014 Best Practices Guide for Comprehensive Tobacco Control Programs	Agency IC Tracking Number:	0920-0879-17APP

IC Status: New

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
Form and Instruction	NA	Best Practices Evaluation: Telephone Interview Guide	Attachment A- Telephone Interview Guide.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Invitation Email	Attachment B- Invitation Email.docx	06/13/2017
Confirmation Email	Attachment C- Confirmation Email.docx	06/13/2017
Reminder Email	Attachment D- Reminder Email.docx	06/13/2017
Follow-Up Email	Attachment E- Follow Up Email.docx	06/13/2017
Supporting Statement A	BP-EVAL-SSA_Revised.docx	06/13/2017
Supporting Statement B	BP-EVAL-SSB.docx	06/13/2017

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