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

ICR 202106-0920-001

OMB: 0920-1083

Federal Form Document

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Supplementary Document
2021-06-07
Justification for No Material/Nonsubstantive Change
2021-06-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-09
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supplementary Document
2019-10-07
Supporting Statement B
2019-10-07
Supporting Statement A
2019-10-07
IC Document Collections
IC ID
Document
Title
Status
237915 Modified
237914 Modified
237912 Modified
237911 Modified
237910 Modified
237909 Modified
237907 Modified
237906 Modified
228674 Modified
228673 Modified
218056 Modified
217194 Modified
217193 Modified
217192 Modified
217191 Modified
217190 Modified
217189 Modified
217188 Modified
217186 Unchanged
ICR Details
0920-1083 202106-0920-001
Received in OIRA 201909-0920-005
HHS/CDC 0920-1083-21FP
Extended Evaluation of the National Tobacco Prevention and Control Public Education Campaign
No material or nonsubstantive change to a currently approved collection   No
Regular 06/07/2021
  Requested Previously Approved
03/31/2023 03/31/2023
40,434 40,434
9,308 9,308
232,096 232,096

This study will enable Centers for Disease Control and Prevention (CDC) to continue to measure exposure and awareness of the Tips From Former Smokers ® campaign and to evaluate its impact on campaign-targeted outcomes among smokers and nonsmokers in the United States. This Non-Substantive Change Request is submitted to consider the potential impact of COVID-19 on cigarette smoking cessation and the potential impact on campaign outcomes.

PL: Pub.L. 111 - 148 4001 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 31 123 Name of Law: Family Smoking Prevention and Tobacco Control
   US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 16863 04/23/2019
84 FR 54151 10/09/2019
No

19
IC Title Form No. Form Name
Non-smoker Survey - Wave A (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Nonsmoker Survey - Wave A ,   Nonsmoker Survey - Wave A Spanish ,   Nonsmoker Survey Wave A_English 04JUN2021 ,   Nonsmoker Survey Wave A_Spanish 04JUN2021
Non-smoker Survey - Wave B (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Nonsmoker Survey - Wave B ,   Nonsmoker Survey - Wave B Spanish ,   Nonsmoker Survey Wave B_English 04JUN2021 ,   Nonsmoker Survey Wave B_Spanish 04JUN2021
Non-smoker Survey - Wave C (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Nonsmoker Survey - Wave C ,   Nonsmoker Survey - Wave C Spanish ,   Nonsmoker Survey Wave C_English 04JUN2021 ,   Nonsmoker Survey Wave C_Spanish 04JUN2021
Non-smoker Survey - Wave D (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Nonsmoker Survey - Wave D ,   Nonsmoker Survey - Wave D Spanish ,   Nonsmoker Survey Wave D_English 04JUN2021 ,   Nonsmoker Survey Wave D_Spanish 04JUN2021
Nonsmoker Survey - Wave E (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Nonsmoker Survey - Wave E ,   Nonsmoker Survey - Wave E Spanish ,   Nonsmoker Survey Wave E_English 04JUN2021 ,   Nonsmoker Survey Wave E_Spanish 04JUN2021
Nonsmoker Survey - Wave F (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Nonsmoker Survey - Wave F ,   Nonsmoker Survey - Wave F Spanish ,   Nonsmoker Survey Wave F_English 04JUN2021 ,   Nonsmoker Survey Wave F_Spanish 04JUN2021
Nonsmoker Survey - Wave G (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Nonsmoker Survey - Wave G ,   Nonsmoker Survey - Wave G Spanish ,   Nonsmoker Survey Wave G_English 04JUN2021 ,   Nonsmoker Survey Wave G_Spanish 04JUN2021
Nonsmoker Survey - Wave H (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Nonsmoker Survey - Wave H ,   Nonsmoker Survey - Wave H Spanish ,   Nonsmoker Survey Wave H_English 04JUN2021 ,   Nonsmoker Survey Wave H_Spanish 04JUN2021
Nonsmoker Survey - Wave I (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Nonsmoker Survey - Wave I ,   Nonsmoker Survey - Wave I Spanish ,   Nonsmoker Survey Wave I_English 04JUN2021 ,   Nonsmoker Survey Wave I_Spanish 04JUN2021
Screening and Consent (English and Spanish) 0920-1083, 0920-1083 Screening and Consent ,   Screener and Consent Spanish
Smoker Survery - Wave F (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Smoker Survey - Wave F ,   Smoker Survey - Wave F Spanish ,   Smoker Survey Wave F_English 04JUN2021 ,   Smoker Survey Wave F_Spanish 04JUN2021
Smoker Survery - Wave G (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Smoker Survey - Wave G ,   Smoker Survey - Wave G Spanish ,   Smoker Survey Wave G_English 04JUN2021 ,   Smoker Survey Wave G_Spanish 04JUN2021
Smoker Survery - Wave H (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Smoker Survey - Wave H ,   Smoker Survey - Wave H Spanish ,   Smoker Survey Wave H_English 04JUN2021 ,   Smoker Survey Wave H_Spanish 04JUN2021
Smoker Survery - Wave I (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Smoker Survey - Wave I ,   Smoker Survey - Wave I Spanish ,   Smoker Survey Wave I_English 04JUN2021 ,   Smoker Survey Wave I_Spanish 04JUN2021
Smoker Survey - Wave A (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Smoker Survey - Wave A ,   Smoker Suvey - Wave A Spanish ,   Smoker Survey Wave A_English 04JUN2021 ,   Smoker Survey Wave A_Spanish 04JUN2021
Smoker Survey - Wave B (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Smoker Survey - Wave B ,   Smoker Survey - Wave B Spanish ,   Smoker Survey Wave B _English 04JUN2021 ,   Smoker Survey Wave B_Spanish 04JUN2021
Smoker Survey - Wave C (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Smoker Survey - Wave C ,   Smoker Survey -- Wave C Spanish ,   Smoker Survey Wave C_English 04JUN2021 ,   Smoker Survey Wave C_Spanish 04JUN2021
Smoker Survey - Wave D (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Smoker Suvey - Wave D ,   Smoker Survey - Wave D Spanish ,   Smoker Survey Wave D_English 04JUN2021 ,   Smoker Survey Wave D_Spanish 04JUN2021
Smoker Survey - Wave E (English and Spanish) 0920-1083, 0920-1083, 0920-1083, 0920-1083 Smoker Survey - Wave E ,   Smoker Survey - Wave E Spanish ,   Smoker Survey Wave E_English 04JUN2021 ,   Smoker Survey Wave E_Spanish 04JUN2021

  Total Request 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
No
No

$3,530,745
Yes Part B of Supporting Statement
    Yes
    No
Yes
No
No
No
Jeffrey Zirger 404 639-7118 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/07/2021


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