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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Follow-up for Callers who Received a Quitline Service
New
28900
3372
0
Form
none
NQDW follow-up questionnaire
Intake Information for Callers who Contact the Quitline for Personal Use
New
500000
83333
0
Form
none
NQDW intake questionnaire
Intake Information for Callers who Contact the Quitline for Someone Else
New
230000
3833
0
Form
none
NQDW intake questionnaire
Quitline Services Questionnaire
New
212
25
0
Form
none
NQDW services questionnaire
Total burden requested under this ICR:
759112
90563
0
To view an IC, click on IC Title
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The .gov means it's official.
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