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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
Unchanged
28900
3372
0
Form and Instruction
F1
NQDW 7-Month Follow-Up Questionnaire
Instructions for submitting caller intake and follow up
Unchanged
53
53
0
Instruction
Intake Information for Callers who Contact the Quitline for Personal Use
Unchanged
510768
85128
0
Form and Instruction
E1(a)
NQDW Intake Questionnaire
Intake Information for Callers who Contact the Quitline for Someone Else
Unchanged
24688
411
0
Form and Instruction
E1(b)
NQDW Intake Questionnaire Subset Final
Quitline Services Questionnaire
Modified
212
71
0
Form
none
Quitline Services Survey
Total burden requested under this ICR:
564621
89035
0
To view an IC, click on IC Title