Non-Substantive Change Request 04JUN2021

2020 NTEC Change Request 0920_1083 _9_23_20_a.docx

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

Non-Substantive Change Request 04JUN2021

OMB: 0920-1083

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Change Request


Proposed Changes to the National Tobacco Education Campaign Survey

(OMB No. 0920-1083 Exp. Date 3/31/2023)



Summary


This is to request OMB approval of non-substantive modifications to the 2020-2022 National Tobacco Education Campaign survey. Specifically, we request the inclusion of COVID-19 as an option in three currently approved questions.



Attachments

-Attachment_K_NonSub_Change_Crosswalk_2020_to_2023_NTEC_Evaluation_(OMB_0920-1083)

-Attachment L1_Waves A-I Smoker NTEC Survey Modification _English

-Attachment L2_Waves A-I Smoker NTEC Survey Modification _Spanish

-Attachment M 1_Waves A-I Nonsmoker NTEC Survey Modification _English

-Attachment M 2_Waves A-I Nonsmoker NTEC Survey Modification _Spanish


Background and Justification

This request is to make non-substantive changes to an existing OMB approved (#0920-1083) online survey that is used to collect information to evaluate the CDC’s Tips From Former Smokers® campaign. To consider the potential impact of COVID-19 on cigarette smoking cessation and the potential impact on campaign outcomes (e.g. calls to the quitline (1-800-QUIT-NOW), smoking cessation behaviors), we are proposing to add one additional response related to COVID-19, to 3 existing questions, e.g. “When you last tried to quit smoking, did any of the following motivate you to try to quit?'(among 7 options, “concerns about COVID-19”, is an option); 'Do you believe cigarette smoking is related to...' (there are 20 choices and “COVID-19” is included); 'Have you been diagnosed by a physician or other qualified medical professional with any of the following medical conditions?' (there are 25 choices and “COVID-19” is included in the list). The proposed modifications are included in the supporting information immediately below in Table 1. These are the only changes that are being requested in this change request. The table below illustrates where in the questionnaire changes are proposed under each section.


Table 1 List of Changes to the NTEC Evaluation

Section

Previously Approved Text

New Text

Reason For Change

SECTION C: Smoking Cessation

C5 (smoker survey); NB5 (nonsmoker survey).

When you last tried to quit smoking, did any of the following motivate you to try to quit?

Statements in row:

C5_1. A family member or friend encouraged me to try to quit

C5_2. Anti-tobacco television commercials, online ads or videos, radio ads, or other types of advertisements that focus on the health consequences of smoking

C5_3. My doctor or other health professional advised me to quit smoking

C5_4. Workplace restrictions on smoking

C5_5. Cost of cigarettes is too high

C5_6. Other, please specify: [O] _____

C5 (smoker survey); NB5 (nonsmoker survey)


When you last tried to quit smoking, did any of the following motivate you to try to quit?

Statements in row:

C5_1. A family member or friend encouraged me to try to quit

C5_2. Anti-tobacco television commercials, online ads or videos, radio ads, or other types of advertisements that focus on the health consequences of smoking

C5_3. My doctor or other health professional advised me to quit smoking

C5_4. Workplace restrictions on smoking

C5_5. Cost of cigarettes is too high

C5_6. Concern about COVID-19

C5_7. Other, please specify: [O] _____

To consider the potential impact of COVID-19 on cigarette smoking cessation.

SECTION D: Attitudes And Beliefs Related To Cessation

D21 (smoker survey); NC1 (nonsmoker survey.


Do you believe cigarette smoking is related to:


Statements in row (randomize and record response order):

D21_1. Lung Cancer

D21_2. Cancer of the mouth or throat

D21_3. Heart Disease

D21_4. Diabetes

D21_5. Emphysema

D21_6. Stroke

D21_7. Hole in throat (stoma or tracheotomy)

D21_8. Buerger’s Disease

D21_9. Amputations (removal of limbs)

D21_10. Asthma

D21_11. Gallstones

D21_12. COPD or Chronic bronchitis

D21_13. Periodontal or Gum Disease

D21_14. Premature birth

D21_15. Colorectal Cancer

D21_16. Macular degeneration or blindness

D21_17. Depression

D21_18. Anxiety Disorder

D21_19. Colon Cancer


Answers in columns:

1. Yes

2. No


D21 (smoker survey); NC1 (nonsmoker survey


Do you believe cigarette smoking is related to:


Statements in row (randomize and record response order):

D21_1. Lung Cancer

D21_2. Cancer of the mouth or throat

D21_3. Heart Disease

D21_4. Diabetes

D21_5. Emphysema

D21_6. Stroke

D21_7. Hole in throat (stoma or tracheotomy)

D21_8. Buerger’s Disease

D21_9. Amputations (removal of limbs)

D21_10. Asthma

D21_11. Gallstones

D21_12. COPD or Chronic bronchitis

D21_13. Periodontal or Gum Disease

D21_14. Premature birth

D21_15. Colorectal Cancer

D21_16. Macular degeneration or blindness

D21_17. Depression

D21_18. Anxiety Disorder

D21_19. Colon Cancer

D21_20. COVID-19


Answers in columns:

1. Yes

2. No


To consider perceptions of the relationship of COVID-19 and cigarette smoking.

SECTION G: Closing Questions


G15. Have you been diagnosed by a physician or other qualified medical professional with any of the following medical conditions?


You may choose not to answer the question by simply clicking “Next”.


Statements in row (randomize and record response order, with G15_24 always last):

G15_1. Acid reflux disease

G15_2. ADHD or ADD

G15_3. Anxiety disorder

G15_4. Asthma, chronic bronchitis, or COPD

G15_5. Cancer (any type except skin cancer)

G15_6. Chronic pain (such as low back pain, neck pain, or Fibromyalgia)

G15_7. Depression

G15_8. Diabetes

G15_9. Heart attack

G15_10. Heart disease

G15_11. High blood pressure

G15_12. High cholesterol

G15_13. HIV/AIDS

G15_14. Kidney disease

G15_15. Mental health condition

G15_16. Multiple sclerosis

G15_17. Osteoarthritis, joint pain or inflammation

G15_18. Osteoporosis or osteopenia

G15_19. Rheumatoid arthritis

G15_20. Seasonal allergies

G15_21. Skin cancer

G15_22. Sleep disorders such as sleep apnea or insomnia

G15_23. Stroke

G15_24. Something else [anchor]


Answers in columns:

1. Yes

2. No



G15


Have you been diagnosed by a physician or other qualified medical professional with any of the following medical conditions?


You may choose not to answer the question by simply clicking “Next”.


Statements in row (randomize and record response order, with G15_24 always last):

G15_1. Acid reflux disease

G15_2. ADHD or ADD

G15_3. Anxiety disorder

G15_4. Asthma, chronic bronchitis, or COPD

G15_5. Cancer (any type except skin cancer)

G15_6. Chronic pain (such as low back pain, neck pain, or Fibromyalgia)

G15_7. Depression

G15_8. Diabetes

G15_9. Heart attack

G15_10. Heart disease

G15_11. High blood pressure

G15_12. High cholesterol

G15_13. HIV/AIDS

G15_14. Kidney disease

G15_15. Mental health condition

G15_16. Multiple sclerosis

G15_17. Osteoarthritis, joint pain or inflammation

G15_18. Osteoporosis or osteopenia

G15_19. Rheumatoid arthritis

G15_20. Seasonal allergies

G15_21. Skin cancer

G15_22. Sleep disorders such as sleep apnea or insomnia

G15_23. Stroke

G15_24. COVID-19

G15_25. Something else [anchor]


Answers in columns:

1. Yes

2. No

To consider the potential association of COVID-19 on cigarette smoking cessation.


Effect of Proposed Changes on the Burden Estimate

No increases are anticipated in the currently approved estimated burden, (Table A.12.1. Estimated Annualized Burden Hours) presented below in Table 2.


Table 2

Original: Table A.12.1. Estimated Annualized Burden Hours

(Type of) Respondents



Form Name



Number of Respondents

Number of Responses per Respondent


Average Burden per Response (in Hours)

Total Burden (in Hours)

General Population

Screening & Consent (English)

16,167

1

5/60

1,347

Screening & Consent (Spanish)

500

1

5/60

42

Adult Smokers, ages 18-54, in the United States

Smoker Survey Wave A (English)

2,587

1

20/60

862

Smoker Survey Wave A (Spanish)

80

1

20/60

27

Smoker Survey Wave B (English)

1,617

1

20/60

539

Smoker Survey Wave B (Spanish)

50

1

20/60

17

Smoker Survey Wave C (English)

1,617

1

20/60

539

Smoker Survey Wave C (Spanish)

50

1

20/60

17

Smoker Survey Wave D (English)

1,617

1

20/60

539

Smoker Survey Wave D (Spanish)

50

1

20/60

17

Smoker Survey Wave E (English)

1,617

1

20/60

539

Smoker Survey Wave E (Spanish)

50

1

20/60

17

Smoker Survey Wave F (English)

1,617

1

20/60

539

Smoker Survey Wave F (Spanish)

50

1

20/60

17

Smoker Survey Wave G (English)

1,617

1

20/60

539

Smoker Survey Wave G (Spanish)

50

1

20/60

17

Smoker Survey Wave H (English)

1,617

1

20/60

539

Smoker Survey Wave H (Spanish)

50

1

20/60

17

Smoker Survey Wave I (English)

1,617

1

20/60

539

Smoker Survey Wave I (Spanish)

50

1

20/60

17

Adult Nonsmokers, ages 18-54, in the United States

Nonsmoker Survey Wave A (English)

1,000

1

20/60

333

Nonsmoker Survey Wave A (Spanish)

100

1

20/60

33

Nonsmoker Survey Wave B (English)

808

1

20/60

269

Nonsmoker Survey Wave B (Spanish)

25

1

20/60

8

Nonsmoker Survey Wave C (English)

808

1

20/60

269

Nonsmoker Survey Wave C (Spanish)

25

1

20/60

8

Nonsmoker Survey Wave D (English)

808

1

20/60

269

Nonsmoker Survey Wave D (Spanish)

25

1

20/60

8

Nonsmoker Survey Wave E (English)

808

1

20/60

269

Nonsmoker Survey Wave E (Spanish)

25

1

20/60

8

Nonsmoker Survey Wave F (English)

808

1

20/60

269

Nonsmoker Survey Wave F (Spanish)

25

1

20/60

8

Nonsmoker Survey Wave G (English)

808

1

20/60

269

Nonsmoker Survey Wave G (Spanish)

25

1

20/60

8

Nonsmoker Survey Wave H (English)

808

1

20/60

269

Nonsmoker Survey Wave H (Spanish)

25

1

20/60

8

Nonsmoker Survey Wave I (English)

808

1

20/60

269

Nonsmoker Survey Wave I (Spanish)

25

1

20/60

8


Total

9,311


Effect of Proposed Changes on Currently Approved Instruments and Attachments


The following table describes those attachments which have the requested changes to the National Tobacco Education Campaign Survey (OMB No. 0920-1083 Exp. Date 3/31/2023). All updates are highlighted in yellow in Table 1 of this document.


Change Request Attachment Title

Attachment K Crosswalk of Non-Substantive Questionnaire Changes, 2020 to 2023 NTEC

Attachment L1 Waves A-I Smoker NTEC Survey Modification _English

Attachment L2 Waves A-I Smoker NTEC Survey Modification _Spanish

Attachment M1 Waves A-I Nonsmoker NTEC Survey Modification _English

Attachment M2 Waves A-I Nonsmoker NTEC Survey Modification _Spanish



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