Instruments for Wave 2 of the PATH Study

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

OMB: 0925-0664

IC ID: 212557

Information Collection (IC) Details

View Information Collection (IC)

Instruments for Wave 2 of the PATH Study
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3-New PATH Verification Form 23_PATH Verification Form (new) 5-8-15.pdf Yes Yes Fillable Fileable
Form and Instruction 3-New PATH Validation Form 24_PATH Validation Form (new) 5-8-15.pdf Yes Yes Fillable Fileable
Form and Instruction 1-Rev English Version 2_PATH_Study_Data_Collection_Instruments.pdf Yes Yes Fillable Fileable
Form and Instruction 1 Spanish Version 2-PATH_Study_Data_Collection_Instruments-Spanish.pdf Yes Yes Fillable Fileable
Form and Instruction 2 Follow up, Retention and Tracking Documents - English Version 9_Follow-up_Retention_and_Tracking.pdf Yes Yes Fillable Fileable
Form and Instruction 2 Follow up, Retention and Tracking Documents - Spanish Version 9_Follow-up_Retention_and_Tracking_Spanish.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

09-25-0200 ooClinical, Basic and Population-basedR esearchS tudieso f the National Institutes of Health (NIH), HHSAIIH/OD  67 FR 60741

41,662 0
   
Individuals or Households
 
   90 %

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

Title Document Date Uploaded
Summary of Changes to the Instrument 5 Summary of Changes to Instruments for W2 6-27-2014.pdf 07/31/2014
Additional Biospecimen Informatiion 6_Additional_Information_on_Biospecimens.pdf 07/31/2014
Field Materials - English 19_Field_Data_Collection_Materials.pdf 07/31/2014
Field Materials - Spanish 19_Field_Data_Collection_Materials_Spanish.pdf 07/31/2014
Data Confidentially Procedures 17_Procedures_for_Keeping_Data_Confidential.pdf 07/31/2014
Data Use Agreement 18_ICPSR_Data_Use_Agreement.pdf 07/31/2014
Key Survey Design Features 8_Key_Design_Features.pdf 07/31/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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