Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Follow-up for Callers who Received a Quitline Service Modified 28900 3372 0 Form none NQDW 7month follow up questionnaire
Intake Information for Callers who Contact the Quitline for Personal Use Modified 500000 83333 0 Form none NQDW intake questionnaire
Intake Information for Callers who Contact the Quitline for Someone Else Modified 230000 3833 0 Form none NQDW intake questionnaire
Quitline Services Questionnaire Modified 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