Follow-up for Callers who Received a Quitline Service

National Quitline Data Warehouse

OMB: 0920-0856

IC ID: 193101

Information Collection (IC) Details

View Information Collection (IC)

Follow-up for Callers who Received a Quitline Service
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction F1 NQDW 7-Month Follow-Up Questionnaire F1 NQDW 7-month Follow-up Questionnaire_Final.docx No No Fillable Fileable

Health Illness Prevention

 

28,900 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 0 0 -28,900 0 0 28,900
Annual IC Time Burden (Hours) 0 0 -3,372 0 0 3,372
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
F2 F2. NQDW Advance Letter for Folllow-up.doc 09/19/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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