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 ICR is being submitted as a revision with minor changes of a longitudinal web-based survey previously approved as OMB No. 0920-1083.
The latest form for Extended Evaluation of the National Tobacco Prevention and Control Public Education Campaign expires 2023-03-31 and can be found here.
Document Name |
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Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
Approved without change |
Revision of a currently approved collection | 2022-09-30 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-05-02 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2021-06-07 | |
Approved without change |
Revision of a currently approved collection | 2019-10-10 | |
Approved without change |
Reinstatement with change of a previously approved collection | 2017-10-18 | |
Approved with change |
New collection (Request for a new OMB Control Number) | 2015-07-10 |
Federal Enterprise Architecture: Health - Illness Prevention
Form 0920-1083 | Screener and Consent Spanish | Fillable Fileable | Form and instruction |
Form 0920-1083 | Screening and Consent | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.