OMB control number
[NCCDPHP] Evaluation Reporting Template for the National and State Tobacco Control Program
OMB 0920-1390 · HHS/CDC.
OMB 0920-1390
The purpose of this request is to evaluate the National Center for Chronic Disease Prevention and Health Promotion cooperative agreement CDC-RFA-DP20-2001: National and State Tobacco Control Program. This is a new information collection request. A three-year Approval Period is requested for this ICR. This request is specific to the "Evaluation Reporting Template for the National and State Tobacco Program".
The latest form for [NCCDPHP] Evaluation Reporting Template for the National and State Tobacco Control Program expires 2026-06-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Form and Instruction |
Form and Instruction |
 0920-1390 -Supporting Statement A.docx (document unavailable)Supporting Statement A |
| 0920-1390 Tobacco Supporting Statement B.docx (document unavailable) Supporting Statement B |
 Att 3b - Public Comment - Coalition on CDC National and State Tobacco Control Program_12_01_2025.pdfPublic Comments |
| 0920-1390 60 day FRN 9-30-2025.pdf (document unavailable) Supplementary Document |
| Att 4 Research Determination_20220324.pdf (document unavailable) Supplementary Document |
| Att 3 CDC-2021-0108-0001_Published 60 Day FRN.pdf (document unavailable) Supplementary Document |
| Att 1c CSTHEA.pdf (document unavailable) Supplementary Document |
Supplementary Document |
Supplementary Document |
NTCP Report Template
Evaluation Report for National and State Tobacco Control Program All Historical Document Collections
| Extension without change of a currently approved collection | 2026-03-24 | ||
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2022-08-19 |