Form 5 VA Follow Up Calls

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

Appendix 1E VA Follow Up Calls_updated AG

VA Follow Up Calls

OMB: 0925-0208

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APPENDIX 1E

VA Follow Up Calls








VA Follow Up Calls


https://livehelp.cancer.gov/ci/documents/detail/5/19/12/2c9810044bcf5284c3322f369266f4850fecf65d


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSmoking Cessation Intake Form (SCIF Screen Shots
SubjectSMOKING CESSATION INTAKE FORM (SCIF) with SCREEN SHOTS
AuthorBurstyn, Ilene (NIH/NCI) [E]
File Modified0000-00-00
File Created2021-01-20

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