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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
Modified
28900
3372
0
Form and Instruction
F1
NQDW 7-Month Follow-Up Questionnaire
Instructions for submitting caller intake and follow up
Modified
53
53
0
Instruction
Intake Information for Callers who Contact the Quitline for Personal Use
Modified
510768
85128
0
Form and Instruction
E1(a)
NQDW Intake Questionnaire
Intake Information for Callers who Contact the Quitline for Someone Else
Modified
24688
411
0
Form and Instruction
E1(b)
NQDW Intake Questionnaire Subset Final
Quitline Services Questionnaire
Modified
212
71
0
Form and Instruction
G1
Quitline Serivces Online Survey
Form and Instruction
G1 (2)
G1 Quitline Services Online Survey file 2
Other-WORD
Total burden requested under this ICR:
564621
89035
0
To view an IC, click on IC Title