Document

Smoking Cessation Intake Form (SCIF Screen Shots

ICR 202504-0925-001 · OMB 0925-0208 · Object 158201601.

Document Viewer [docx]

Status: The document is viewable, but some background extraction is still pending.

Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-05-15 04:18:08)

Missing: html

Download: Source copy (docx)

Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Loading document viewer…
Document Metadata
File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSmoking Cessation Intake Form (SCIF Screen Shots
SubjectSMOKING CESSATION INTAKE FORM (SCIF) with SCREEN SHOTS
AuthorBurstyn, Ilene (NIH/NCI) [E]
File Created2025-07-31
Conversion Statepartial