Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
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
Form
none
G3 Quitline Services Survey
Total burden requested under this ICR:
564621
89035
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
