Information Collection

Understanding Vaping Practices in the United States Survey

IC 238643 under ICR 201911-0920-010 · OMB 0920-1276.

Documents and Forms

Document Name Document Type
Form Survey Understanding Vaping Practices in the United States Survey Form and Instruction
Survey EVALI Survey Attachment 2_EVALI survey v4 CJ final.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Understanding Vaping Practices in the United States Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Survey	EVALI Survey	Attachment 2_EVALI survey v4 CJ final.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120,000	120,000
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.