Information Collection Request

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

ICR 201505-0925-001 · OMB 0925-0664 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3-New Instruments for Wave 2 of the PATH Study Form and Instruction Modified Available
Change Request - PATH Study Wave 2 (0925-0664) May 8_2015 ver2.docx Justification for No Material/Nonsubstantive Change Uploaded 2015-05-18 Available
12_Consent_Materials_Spanish-revised 5-8-15.pdf Supplementary Document Uploaded 2015-05-18 Available
12_Consent_Materials-revised 5-8-15 (2).pdf Supplementary Document Uploaded 2015-05-18 Available
22_List_of_Statistical_Consultants.pdf Supplementary Document Uploaded 2014-07-31 Available
21_PATH_Study_Interim_Report_for_OMB.pdf Supplementary Document Uploaded 2014-07-31 Available
20_Sample_Analysis_Plans.pdf Supplementary Document Uploaded 2014-07-31 Available
4_Sample_Conceptual_Models.pdf Supplementary Document Uploaded 2014-07-31 Available
3_PATH_Crosswalk.pdf Supplementary Document Uploaded 2014-07-31 Available
16_NIH_Privacy_Act_SORN.pdf Supplementary Document Uploaded 2014-07-22 Available
15_IRB_Approval_Memo.pdf Supplementary Document Uploaded 2014-07-22 Available
14_Assurance_of_Confidentiality.pdf Supplementary Document Uploaded 2014-07-22 Available
13_NIH_Confidentiality_Certificate_AM4.pdf Supplementary Document Uploaded 2014-07-22 Available
11_List_of_Consultants_v7.pdf Supplementary Document Uploaded 2014-07-22 Available
7_PATH_Study_Privacy_Impact_Assessments_(PIA).pdf Supplementary Document Uploaded 2014-07-22 Available
1_NIDA's_Data_Collection_Authority.pdf Supplementary Document Uploaded 2014-07-22 Available
PATH W2 SSB 6-26-2014.docx Supporting Statement B Uploaded 2014-07-22 Available
PATH W2 SSA 7-24-2014-revised 5-8-15.docx Supporting Statement A Uploaded 2015-05-18 Available
0925-0664 Change Request to Drop Buccal Cell Collection- PATH Study baseline 5-14.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-06-05 Available
Non- sub change request memo - PATH Study 12-18-13.doc Justification for No Material/Nonsubstantive Change Uploaded 2013-12-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
212557 Instruments for Wave 2 of the PATH Study Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2016 09/30/2016 09/30/2016
192,858 0 193,243
58,340 0 56,939
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Instruments for Wave 2 of the PATH Study 1-Rev, 1, 2, 2, 3-New, 3-New PATH Verification Form ,   PATH Validation Form ,   English Version ,   Spanish Version ,   Follow up, Retention and Tracking Documents - English Version ,   Follow up, Retention and Tracking Documents - Spanish Version

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 192,858 193,243 0 -385 0 0
Annual Time Burden (Hours) 58,340 56,939 0 1,401 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No