Nonsmoker Survey - Wave H (English and Spanish)

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

OMB: 0920-1083

IC ID: 237914

Information Collection (IC) Details

View Information Collection (IC)

Nonsmoker Survey - Wave H (English and Spanish)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1083 Nonsmoker Survey - Wave H Attachment E-1. Waves A-I Nonsmoker Survey Screenshots 12-5-18 (English).pdf Yes Yes Fillable Fileable
Form and Instruction 0920-1083 Nonsmoker Survey - Wave H Spanish Attachment E-2. Waves A-I Nonsmoker Survey Screenshots 6-10-19 (Spanish).pdf Yes Yes Fillable Fileable
Form and Instruction 0920-1083 Nonsmoker Survey Wave H_English 04JUN2021 Waves A-I NonSmoker English.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1083 Nonsmoker Survey Wave H_Spanish 04JUN2021 ATTA~8MX.PDF NA Yes Yes Fillable Fileable

Health Illness Prevention

 

833 0
   
Individuals or Households
 
   100 %

  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 833 0 0 0 0 833
Annual IC Time Burden (Hours) 277 0 0 0 0 277
Annual IC Cost Burden (Dollars) 9,721 0 0 0 0 9,721

Title Document Date Uploaded
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