OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

The National Cancer Institute (NCI) SmokefreeTXT (Text Message) Program Evaluation

OMB 0925-0676 · HHS/NIH.

OMB 0925-0676

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 7 Exit Scripts and Survey for Ineligibles (Attachment 13)Form and Instruction
Form 6 24 Week Post Quit Date Questionnaire (Attachment 20)Form and Instruction
Form 5 12 Week Post Quit Date Questionnaire (Attachment 19)Form and Instruction
Form 4 6 Weeks Post Quit Date Questionnaire (Attachment 15)Form and Instruction
Form 3 1 Week Post Quit Date Questionnaire (Attachment 14)Form and Instruction
Form 2 Baseline Questionnaire (Attachment 10)Form and Instruction
Form 1 Screener Questionnaire (Attachment 9)Form and Instruction
SSB SFTXT_3-21-2013.docSupporting Statement B
Attach18_PrivacyActMemo.pdf Supplementary Document
Attach17_PIA.pdf Supplementary Document
Attach16_SFTXT_Verification_12-06_2012.docx Supplementary Document
Attach12_SFTXT_HonestPledge.docx Supplementary Document
Attach11_SFTXT_RecruitPlan.pdf Supplementary Document
Attach8_SFTXT_IRB Approval.docx Supplementary Document
Attach7_SFTXT_REVISED_Consent Form_v2 5222013.docx Supplementary Document
Attach6_SFTXT_Collaborators_11192012.docx Supplementary Document
Attach5_SFTXT_Data Collection_12062012.docx Supplementary Document
Attach4_SFTXT_Lit Review_11192012.docx Supplementary Document
Attach3_SFTXT_Antifraud_11192012.docx Supplementary Document
Attach2_SFTXT_Framework_11192012.docx Supplementary Document
Attach1_SFTXT Planning Matrix_12062012.docx Supplementary Document
Cover Memo_SFTXT_03122013.doc Supplementary Document
SSA_SFTXT_REVISED_5222013.docSupporting Statement A
Exit Scripts and Survey for Ineligibles (Attachment 13) Form and Instruction
24 Week Post Quit Date Questionnaire (Attachment 20) Form and Instruction
12 Week Post Quit Date Questionnaire (Attachment 19) Form and Instruction
6 Weeks Post Quit Date Questionnaire (Attachment 15) Form and Instruction
1 Week Post Quit Date Questionnaire (Attachment 14) Form and Instruction
Baseline Questionnaire (Attachment 10) Form and Instruction
Screener Questionnaire (Attachment 9) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201304-0925-001 New collection (Request for a new OMB Control Number) 2013-04-04 Approved with change