Information Collection Request

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

ICR 201510-0925-001 · OMB 0925-0664 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1-Rev Instruments for Wave 3 of the PATH Study Form and Instruction Unchanged Available
Change request_PATH Study Statistical Approach for Biospecimen Weighting_Wave 1 Sept 15-2015.docx Justification for No Material/Nonsubstantive Change Uploaded 2015-10-05 Available
3 Crosswalk.pdf Supplementary Document Uploaded 2015-06-19 Available
Change Request - PATH Study Wave 2 (0925-0664) May 8_2015Ver3.docx Justification for No Material/Nonsubstantive Change Uploaded 2015-05-19 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 Statistical Consultants.pdf Supplementary Document Uploaded 2015-06-19 Available
21 PATH Study Interim Report for OMB.pdf Supplementary Document Uploaded 2015-06-19 Available
20 Sample Analysis Plans.pdf Supplementary Document Uploaded 2015-06-19 Available
4 Sample Conceptual Models.pdf Supplementary Document Uploaded 2015-06-19 Available
16 NIH Privacy Act SORN.pdf Supplementary Document Uploaded 2015-06-19 Available
15_IRB_Approval_Memo.pdf Supplementary Document Uploaded 2015-06-19 Available
14 Assurance of Confidentiality.pdf Supplementary Document Uploaded 2015-06-19 Available
13 NIH Confidentiality Certificate.pdf Supplementary Document Uploaded 2015-06-19 Available
11 List of Consultants.pdf Supplementary Document Uploaded 2015-06-19 Available
7 PATH Study Privacy Impact Assessments (PIA).pdf Supplementary Document Uploaded 2015-06-19 Available
1 NIDA's Data Collection Authority.pdf Supplementary Document Uploaded 2015-06-19 Available
PATH Study - SSB for Wave 3 ICR June 10-2015.docx Supporting Statement B Uploaded 2015-06-19 Available
PATH Study - SSA for Wave 3 ICR June 10-2015 (4).docx Supporting Statement A Uploaded 2015-08-07 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 3 of the PATH Study Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2018 08/31/2018 08/31/2018
192,858 0 192,858
54,434 0 54,434
0 0 0





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

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 192,858 192,858 0 0 0 0
Annual Time Burden (Hours) 54,434 54,434 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No