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

OMB 0920-1083

OMB 0920-1083

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.

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OMB Details

Screening and Consent (English and Spanish)

Federal Enterprise Architecture: Health - Illness Prevention

Form 0920-1083Screener and Consent SpanishFillable FileableForm and instruction
Form 0920-1083Screening and ConsentFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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