Information Collection Request

Population Assessment of Tobacco and Health (PATH) Study - Fourth Wave of Data Collection (NIDA)

ICR 201606-0925-008 · OMB 0925-0664 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Path Study Data Collection Instruments Form and Instruction New Available
Form 1-Rev Instruments for Wave 3 of the PATH Study Form and Instruction Removed Available
Attach2a PATH Study Data Collection Instruments.pdf Supplementary Document Uploaded 2016-11-04 Available
Attach2b PATH Study Data Collection Instruments.pdf Supplementary Document Uploaded 2016-11-04 Available
Attach4 Summary of Changes to Instruments for Wave 4.pdf Supplementary Document Uploaded 2016-11-04 Available
PATH 30-day.pdf Supplementary Document Uploaded 2016-07-01 Available
Revised_ PATH Study W4 SSA 100716.docx Supporting Statement A Uploaded 2016-11-04 Available
Attach21. Statistical Consultants.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach20. PATH Study Interim Report.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach19. Sample Analysis Plans.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach17. ICPSR Data Use Agreement.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach16. Procedures for Keeping Data Confidential.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach15. Privacy Act System of Records Notice.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach14. IRB Approval Memo.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach13. Assurance of Confidentiality.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach12. NIH Confidentiality Certificate.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach10. List of Consultants .pdf Supplementary Document Uploaded 2016-06-27 Available
Attach8. Key Design Features.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach7. PATH Study Privacy Impact Assessments (PIA).pdf Supplementary Document Uploaded 2016-06-27 Available
Attach5. Sample Conceptual Models.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach3. Crosswalk of PATH Study Objectives, Data Sources, Domains, and Analysis.pdf Supplementary Document Uploaded 2016-06-27 Available
Attach1. NIDA's Data Collection Authority.pdf Supplementary Document Uploaded 2016-06-27 Available
PATH W4 SSB final 062416.docx Supporting Statement B Uploaded 2016-06-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
222213 Path Study Data Collection Instruments Form and Instruction New
212557 Instruments for Wave 3 of the PATH Study Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2018 36 Months From Approved 08/31/2018
442,123 0 192,858
94,798 0 54,434
0 0 0





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 442,123 192,858 0 249,265 0 0
Annual Time Burden (Hours) 94,798 54,434 0 40,364 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No