Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult smokers ages 25 to 54; Telephone Verification, Questionnaires 1 - 4 Unchanged 436 35 0 Other-Telephone Verification Survey
Adult smokers ages 25 to 54; Wave 1 Questionnaire Modified 1427 956 0 Other-Wave 1 Evaluation Consent
Other-Evaluation Questionnaire
Adult smokers ages 25 to 54; Wave 2 - 4 Questionnaires Modified 2938 1968 0 Other-Wave 2, 3, 4 Consent Form
Other-Waves 2, 3, 4 Evaluation Questionnaire
Households (adults 18 and up); Field Screener Unchanged 8753 1488 0 Other-Field Screener
Households (adults 18 and up); Mail screener Unchanged 9217 1567 0 Other-Mail Screener
Households (adults 18 and up); Telephone Verification, Field Screener Unchanged 733 59 0 Other-Telephone Verification Survey
Study Participants (opt in) Modified 2307 185 0 Other-App-based Data Collection Consent Script
Total burden requested under this ICR: 25811 6258 0  
To view an IC, click on IC Title