Instructions for submitting caller intake and follow up

National Quitline Data Warehouse

OMB: 0920-0856

IC ID: 204102

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Instructions for submitting caller intake and follow up
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction E1(c) Instructions for submitting summary caller data to CDCfinal.pdf Yes Yes Paper Only

Health Illness Prevention

 

53 0
   
Individuals or Households
 
   100 %

  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 53 0 0 0 0 53
Annual IC Time Burden (Hours) 53 0 0 0 0 53
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy