Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CIS Email Intake Form (Appendix 2_REV) New 1000 33 0 Form and Instruction 6 Email Intake
CIS LiveHelp Questionnaire (Appendix 1B_REV) Modified 7800 260 0 Form and Instruction 3 LiveHelp Questionnaire
CIS Smoking Cessation Proactive Follow-ups (Appendix 1D_REV) Modified 4000 67 0 Instruction
CIS Smoking Cessation Reactive Service "Demographic" Questions (Appendix 1C_REV) Modified 1300 43 0 Form and Instruction 5 Smoking Cessation Reactive Service Demographic Questions
CIS Smoking Cessation Reactive Service "Intake" Questions (Appendix 1C_REV) Modified 4200 350 0 Form and Instruction 4 Smoking Cessation Reactive Service Client Questions
CIS Telephone Customer Service Questions (Appendix 1A_REV) Modified 67400 1123 0 Form and Instruction 1 Telephone Customer Service Questions
CIS Telephone Demographic Questions (Appendix 1A_REV) Modified 24300 810 0 Form and Instruction 2 Telephone Demographic Questions
Total burden requested under this ICR: 110000 2686 0  
To view an IC, click on IC Title