Form 8 Appendix 2 Email Intake Form on Cancer,gov

Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI's Contact Center, Cancer Information Service (CIS) Clients

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0925-0208 can be found here:

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File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Bailey, Karla (NIH/NCI) [E]
File Modified	0000-00-00
File Created	2021-01-24