Household Screening Respondent

National Panel of Tobacco Consumer Studies

OMB: 0910-0815

IC ID: 216698

Documents and Forms
Document Name
Document Type
Other-Questionnaires - English
Other-Questionnaires - Spanish
Information Collection (IC) Details

View Information Collection (IC)

Household Screening Respondent
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaires - Spanish 2.3_Enrollment_Survey_Spanish_REV_CLEAN_MAR2017.pdf Yes Yes Fillable Fileable
Other-Questionnaires - English Attachment_1_Clean.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

29,385 0
   
Individuals or Households
 
   0 %

  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 9,697 0 0 0 0 9,697
Annual IC Time Burden (Hours) 1,261 0 0 0 0 1,261
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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