Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Customer Satisfaction Survey Removed 0 0 0 Form and Instruction 6 Appendix 9 Customer Satisfaction Survey Questions
E-mail Clients Modified 1002 167 0 Form 8 Email Intake Form on Cancer.gov
LiveHelp Clients Modified 6236 208 0 Form 7 Live Help Questions
Smoking Cessation Clients Demographic & Customer Satisfaction Questions Modified 676 23 0 Form 4 Smoking Cessation Clients Demographic & Customer Satisfaction Survey Questions
Smoking Cessation Clients Smoking Cessation "Intake" Questions Modified 3380 338 0 Form and Instruction 3 SCIF with screen shots
Telephone Clients Customer Service Modified 31562 526 0 Form and Instruction 1 Customer Service and Demographic Questions
Telephone Clients Demographic & Customer Satisfaction Questions Modified 13100 437 0 Form and Instruction 2 Customer Service and Demographic Questions
VA Follow Up Calls New 936 62 0 Form 5 VA Follow Up Calls
VA Smoking Cessation Clients Call Backs Modified 1560 104 0 Form 6 VA Smoking Cessation Call Backs
Total burden requested under this ICR: 58452 1865 0  
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