Information Collection Request

Extended Evaluation of the National Tobacco Prevention and Control Public Education Campaign

ICR 202106-0920-001 · OMB 0920-1083 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-1083 Nonsmoker Survey Wave I_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey Wave I_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave I Spanish Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave I Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave I (English and Spanish) Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey Wave H_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey Wave H_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave H Spanish Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave H Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave H (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave G_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey Wave G_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave G Spanish Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey - Wave G Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave G (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave F_Spanish 04JUN2021 Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave F_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave F Spanish Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave F Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave F (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey Wave I_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey Wave I_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave I Spanish Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey - Wave I Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survery - Wave I (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey Wave H_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey Wave H_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave H Spanish Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave H Form and Instruction Modified Available
Form 0920-1083 Smoker Survery - Wave H (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey Wave G_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey Wave G_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave G Spanish Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave G Form and Instruction Modified Available
Form 0920-1083 Smoker Survery - Wave G (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey Wave F_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey Wave F_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave F Spanish Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave F Form and Instruction Modified Available
Form 0920-1083 Smoker Survery - Wave F (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave E_Spanish 04JUN2021 Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave E_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave E Spanish Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey - Wave E Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey - Wave E (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey Wave E_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey Wave E_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave E Spanish Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave E Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave E (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey Wave A_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey Wave A_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Suvey - Wave A Spanish Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave A Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave A (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave D_Spanish 04JUN2021 Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave D_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave D Spanish Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave D Form and Instruction Modified Available
Form 0920-1083 Non-smoker Survey - Wave D (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave C_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey Wave C_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave C Spanish Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave C Form and Instruction Modified Available
Form 0920-1083 Non-smoker Survey - Wave C (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave B_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey Wave B_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave B Spanish Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave B Form and Instruction Modified Available
Form 0920-1083 Non-smoker Survey - Wave B (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Nonsmoker Survey Wave A_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey Wave A_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave A Spanish Form and Instruction Modified Available
Form 0920-1083 Nonsmoker Survey - Wave A Form and Instruction Modified Available
Form 0920-1083 Non-smoker Survey - Wave A (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey Wave D_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey Wave D_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave D Spanish Form and Instruction Modified Available
Form 0920-1083 Smoker Suvey - Wave D Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave D (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey Wave C_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey Wave C_English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey -- Wave C Spanish Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave C Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave C (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey Wave B_Spanish 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey Wave B _English 04JUN2021 Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave B Spanish Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave B Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave B (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Screener and Consent Spanish Form and Instruction Unchanged Available
Form 0920-1083 Screening and Consent Form and Instruction Unchanged Available
Form 0920-1083 Screening and Consent (English and Spanish) Form and Instruction Unchanged Repair queued
Non_Sub Change Crosswalk 04JUN2021.docx Supplementary Document Uploaded 2021-06-07 Repair queued
2020 NTEC Change Request 0920_1083 _9_23_20_a.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-06-07 Available
684_NTEC.pdf Supplementary Document Uploaded 2019-10-07 Repair queued
Privacy Narrative PDF OMB 0920_1083_12_19_18 signed 09-12-19.pdf Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment J. Source of Respondents for Each Wave of Data Collection.docx Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment I-3. ABS Sample Postcard Reminders.pdf Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment I-2. KnowledgePanel Email Invitation Reminders.doc Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment I-1. ABS Sample Invitation Letters.pdf Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment H. GfK-Ipsos Privacy and Security Procedures.doc Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment G. RTI IRB Approval Notice.pdf Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment F. KnowledgePanel Recruitment Procedures.doc Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment E-3. Changes to Wave A-I Nonsmoker Survey 12-5-18.docx Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment D-3. Changes to Wave A-I Smoker Survey Updated.docx Supplementary Document Uploaded 2019-10-09 Repair queued
Attachment B-1. 60-Day FRN Published 4-23-19.pdf Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment A-3. PPHF.pdf Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment A-2. Familly Smoking Prevention & Tobacco Control Act.PDF Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment A-1. Public Health Service Act.doc Supplementary Document Uploaded 2019-10-07 Repair queued
Part B_Evaluation ICR_6-10-19.docx Supporting Statement B Uploaded 2019-10-07 Repair queued
Part A_Evaluation ICR_6-10-19 final.docx Supporting Statement A Uploaded 2019-10-07 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
237915 Nonsmoker Survey - Wave I (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave I_Spanish 04JUN2021
237915 Nonsmoker Survey - Wave I (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave I_English 04JUN2021
237915 Nonsmoker Survey - Wave I (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave I Spanish
237915 Nonsmoker Survey - Wave I (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave I
237915 Nonsmoker Survey - Wave I (English and Spanish) Form and Instruction Modified
237914 Nonsmoker Survey - Wave H (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave H_Spanish 04JUN2021
237914 Nonsmoker Survey - Wave H (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave H_English 04JUN2021
237914 Nonsmoker Survey - Wave H (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave H Spanish
237914 Nonsmoker Survey - Wave H (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave H
237914 Nonsmoker Survey - Wave H (English and Spanish) Form and Instruction Modified
237912 Nonsmoker Survey - Wave G (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave G_Spanish 04JUN2021
237912 Nonsmoker Survey - Wave G (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave G_English 04JUN2021
237912 Nonsmoker Survey - Wave G (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave G Spanish
237912 Nonsmoker Survey - Wave G (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave G
237912 Nonsmoker Survey - Wave G (English and Spanish) Form and Instruction Modified
237911 Nonsmoker Survey - Wave F (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave F_Spanish 04JUN2021
237911 Nonsmoker Survey - Wave F (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave F_English 04JUN2021
237911 Nonsmoker Survey - Wave F (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave F Spanish
237911 Nonsmoker Survey - Wave F (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave F
237911 Nonsmoker Survey - Wave F (English and Spanish) Form and Instruction Modified
237910 Smoker Survery - Wave I (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave I_Spanish 04JUN2021
237910 Smoker Survery - Wave I (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave I_English 04JUN2021
237910 Smoker Survery - Wave I (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave I Spanish
237910 Smoker Survery - Wave I (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave I
237910 Smoker Survery - Wave I (English and Spanish) Form and Instruction Modified
237909 Smoker Survery - Wave H (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave H_Spanish 04JUN2021
237909 Smoker Survery - Wave H (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave H_English 04JUN2021
237909 Smoker Survery - Wave H (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave H Spanish
237909 Smoker Survery - Wave H (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave H
237909 Smoker Survery - Wave H (English and Spanish) Form and Instruction Modified
237907 Smoker Survery - Wave G (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave G_Spanish 04JUN2021
237907 Smoker Survery - Wave G (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave G_English 04JUN2021
237907 Smoker Survery - Wave G (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave G Spanish
237907 Smoker Survery - Wave G (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave G
237907 Smoker Survery - Wave G (English and Spanish) Form and Instruction Modified
237906 Smoker Survery - Wave F (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave F_Spanish 04JUN2021
237906 Smoker Survery - Wave F (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave F_English 04JUN2021
237906 Smoker Survery - Wave F (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave F Spanish
237906 Smoker Survery - Wave F (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave F
237906 Smoker Survery - Wave F (English and Spanish) Form and Instruction Modified
228674 Nonsmoker Survey - Wave E (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave E_Spanish 04JUN2021
228674 Nonsmoker Survey - Wave E (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave E_English 04JUN2021
228674 Nonsmoker Survey - Wave E (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave E Spanish
228674 Nonsmoker Survey - Wave E (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave E
228674 Nonsmoker Survey - Wave E (English and Spanish) Form and Instruction Modified
228673 Smoker Survey - Wave E (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave E_Spanish 04JUN2021
228673 Smoker Survey - Wave E (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave E_English 04JUN2021
228673 Smoker Survey - Wave E (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave E Spanish
228673 Smoker Survey - Wave E (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave E
228673 Smoker Survey - Wave E (English and Spanish) Form and Instruction Modified
218056 Smoker Survey - Wave A (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave A_Spanish 04JUN2021
218056 Smoker Survey - Wave A (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave A_English 04JUN2021
218056 Smoker Survey - Wave A (English and Spanish) Form and Instruction ModifiedSmoker Suvey - Wave A Spanish
218056 Smoker Survey - Wave A (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave A
218056 Smoker Survey - Wave A (English and Spanish) Form and Instruction Modified
217194 Non-smoker Survey - Wave D (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave D_Spanish 04JUN2021
217194 Non-smoker Survey - Wave D (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave D_English 04JUN2021
217194 Non-smoker Survey - Wave D (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave D Spanish
217194 Non-smoker Survey - Wave D (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave D
217194 Non-smoker Survey - Wave D (English and Spanish) Form and Instruction Modified
217193 Non-smoker Survey - Wave C (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave C_Spanish 04JUN2021
217193 Non-smoker Survey - Wave C (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave C_English 04JUN2021
217193 Non-smoker Survey - Wave C (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave C Spanish
217193 Non-smoker Survey - Wave C (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave C
217193 Non-smoker Survey - Wave C (English and Spanish) Form and Instruction Modified
217192 Non-smoker Survey - Wave B (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave B_Spanish 04JUN2021
217192 Non-smoker Survey - Wave B (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave B_English 04JUN2021
217192 Non-smoker Survey - Wave B (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave B Spanish
217192 Non-smoker Survey - Wave B (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave B
217192 Non-smoker Survey - Wave B (English and Spanish) Form and Instruction Modified
217191 Non-smoker Survey - Wave A (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave A_Spanish 04JUN2021
217191 Non-smoker Survey - Wave A (English and Spanish) Form and Instruction ModifiedNonsmoker Survey Wave A_English 04JUN2021
217191 Non-smoker Survey - Wave A (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave A Spanish
217191 Non-smoker Survey - Wave A (English and Spanish) Form and Instruction ModifiedNonsmoker Survey - Wave A
217191 Non-smoker Survey - Wave A (English and Spanish) Form and Instruction Modified
217190 Smoker Survey - Wave D (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave D_Spanish 04JUN2021
217190 Smoker Survey - Wave D (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave D_English 04JUN2021
217190 Smoker Survey - Wave D (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave D Spanish
217190 Smoker Survey - Wave D (English and Spanish) Form and Instruction ModifiedSmoker Suvey - Wave D
217190 Smoker Survey - Wave D (English and Spanish) Form and Instruction Modified
217189 Smoker Survey - Wave C (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave C_Spanish 04JUN2021
217189 Smoker Survey - Wave C (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave C_English 04JUN2021
217189 Smoker Survey - Wave C (English and Spanish) Form and Instruction ModifiedSmoker Survey -- Wave C Spanish
217189 Smoker Survey - Wave C (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave C
217189 Smoker Survey - Wave C (English and Spanish) Form and Instruction Modified
217188 Smoker Survey - Wave B (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave B_Spanish 04JUN2021
217188 Smoker Survey - Wave B (English and Spanish) Form and Instruction ModifiedSmoker Survey Wave B _English 04JUN2021
217188 Smoker Survey - Wave B (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave B Spanish
217188 Smoker Survey - Wave B (English and Spanish) Form and Instruction ModifiedSmoker Survey - Wave B
217188 Smoker Survey - Wave B (English and Spanish) Form and Instruction Modified
217186 Screening and Consent (English and Spanish) Form and Instruction UnchangedScreener and Consent Spanish
217186 Screening and Consent (English and Spanish) Form and Instruction UnchangedScreening and Consent
217186 Screening and Consent (English and Spanish) Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2023 03/31/2023 03/31/2023
40,434 0 40,434
9,308 0 9,308
232,096 0 232,096





Reginfo record details
19
table that charts list of burden
IC Title Form No. Form Name
Non-smoker Survey - Wave A (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Non-smoker Survey - Wave B (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Non-smoker Survey - Wave C (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Non-smoker Survey - Wave D (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Nonsmoker Survey - Wave E (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Nonsmoker Survey - Wave F (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Nonsmoker Survey - Wave G (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Nonsmoker Survey - Wave H (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Nonsmoker Survey - Wave I (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Screening and Consent (English and Spanish) 0920-1083, 0920-1083 ,  
Smoker Survery - Wave F (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Smoker Survery - Wave G (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Smoker Survery - Wave H (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Smoker Survery - Wave I (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Smoker Survey - Wave A (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Smoker Survey - Wave B (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Smoker Survey - Wave C (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Smoker Survey - Wave D (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  
Smoker Survey - Wave E (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 ,   ,   ,  

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 40,434 40,434 0 0 0 0
Annual Time Burden (Hours) 9,308 9,308 0 0 0 0
Annual Cost Burden (Dollars) 232,096 232,096 0 0 0 0


Reginfo record details
  No