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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Non-smoker Survey - Wave A (English and Spanish)
Modified
1100
366
12848
Form and Instruction
0920-1083
Nonsmoker Survey - Wave A
Form and Instruction
0920-1083
Nonsmoker Survey - Wave A Spanish
Form and Instruction
0920-1083
Nonsmoker Survey Wave A_English 04JUN2021
Form and Instruction
0920-1083
Nonsmoker Survey Wave A_Spanish 04JUN2021
Non-smoker Survey - Wave B (English and Spanish)
Modified
833
277
9721
Form and Instruction
0920-1083
Nonsmoker Survey - Wave B
Form and Instruction
0920-1083
Nonsmoker Survey - Wave B Spanish
Form and Instruction
0920-1083
Nonsmoker Survey Wave B_English 04JUN2021
Form and Instruction
0920-1083
Nonsmoker Survey Wave B_Spanish 04JUN2021
Non-smoker Survey - Wave C (English and Spanish)
Modified
833
277
9725
Form and Instruction
0920-1083
Nonsmoker Survey - Wave C
Form and Instruction
0920-1083
Nonsmoker Survey - Wave C Spanish
Form and Instruction
0920-1083
Nonsmoker Survey Wave C_English 04JUN2021
Form and Instruction
0920-1083
Nonsmoker Survey Wave C_Spanish 04JUN2021
Non-smoker Survey - Wave D (English and Spanish)
Modified
833
277
9721
Form and Instruction
0920-1083
Nonsmoker Survey - Wave D
Form and Instruction
0920-1083
Nonsmoker Survey - Wave D Spanish
Form and Instruction
0920-1083
Nonsmoker Survey Wave D_English 04JUN2021
Form and Instruction
0920-1083
Nonsmoker Survey Wave D_Spanish 04JUN2021
Nonsmoker Survey - Wave E (English and Spanish)
Modified
833
277
9721
Form and Instruction
0920-1083
Nonsmoker Survey - Wave E
Form and Instruction
0920-1083
Nonsmoker Survey - Wave E Spanish
Form and Instruction
0920-1083
Nonsmoker Survey Wave E_English 04JUN2021
Form and Instruction
0920-1083
Nonsmoker Survey Wave E_Spanish 04JUN2021
Nonsmoker Survey - Wave F (English and Spanish)
Modified
833
277
9721
Form and Instruction
0920-1083
Nonsmoker Survey - Wave F
Form and Instruction
0920-1083
Nonsmoker Survey - Wave F Spanish
Form and Instruction
0920-1083
Nonsmoker Survey Wave F_English 04JUN2021
Form and Instruction
0920-1083
Nonsmoker Survey Wave F_Spanish 04JUN2021
Nonsmoker Survey - Wave G (English and Spanish)
Modified
833
277
9721
Form and Instruction
0920-1083
Nonsmoker Survey - Wave G
Form and Instruction
0920-1083
Nonsmoker Survey - Wave G Spanish
Form and Instruction
0920-1083
Nonsmoker Survey Wave G_English 04JUN2021
Form and Instruction
0920-1083
Nonsmoker Survey Wave G_Spanish 04JUN2021
Nonsmoker Survey - Wave H (English and Spanish)
Modified
833
277
9721
Form and Instruction
0920-1083
Nonsmoker Survey - Wave H
Form and Instruction
0920-1083
Nonsmoker Survey - Wave H Spanish
Form and Instruction
0920-1083
Nonsmoker Survey Wave H_English 04JUN2021
Form and Instruction
0920-1083
Nonsmoker Survey Wave H_Spanish 04JUN2021
Nonsmoker Survey - Wave I (English and Spanish)
Modified
833
277
9721
Form and Instruction
0920-1083
Nonsmoker Survey - Wave I
Form and Instruction
0920-1083
Nonsmoker Survey - Wave I Spanish
Form and Instruction
0920-1083
Nonsmoker Survey Wave I_English 04JUN2021
Form and Instruction
0920-1083
Nonsmoker Survey Wave I_Spanish 04JUN2021
Screening and Consent (English and Spanish)
Unchanged
16667
1389
32501
Form and Instruction
0920-1083
Screening and Consent
Form and Instruction
0920-1083
Screener and Consent Spanish
Smoker Survery - Wave F (English and Spanish)
Modified
1667
556
0
Form and Instruction
0920-1083
Smoker Survey - Wave F
Form and Instruction
0920-1083
Smoker Survey - Wave F Spanish
Form and Instruction
0920-1083
Smoker Survey Wave F_English 04JUN2021
Form and Instruction
0920-1083
Smoker Survey Wave F_Spanish 04JUN2021
Smoker Survery - Wave G (English and Spanish)
Modified
1667
556
0
Form and Instruction
0920-1083
Smoker Survey - Wave G
Form and Instruction
0920-1083
Smoker Survey - Wave G Spanish
Form and Instruction
0920-1083
Smoker Survey Wave G_English 04JUN2021
Form and Instruction
0920-1083
Smoker Survey Wave G_Spanish 04JUN2021
Smoker Survery - Wave H (English and Spanish)
Modified
1667
556
0
Form and Instruction
0920-1083
Smoker Survey - Wave H
Form and Instruction
0920-1083
Smoker Survey - Wave H Spanish
Form and Instruction
0920-1083
Smoker Survey Wave H_English 04JUN2021
Form and Instruction
0920-1083
Smoker Survey Wave H_Spanish 04JUN2021
Smoker Survery - Wave I (English and Spanish)
Modified
1667
556
0
Form and Instruction
0920-1083
Smoker Survey - Wave I
Form and Instruction
0920-1083
Smoker Survey - Wave I Spanish
Form and Instruction
0920-1083
Smoker Survey Wave I_English 04JUN2021
Form and Instruction
0920-1083
Smoker Survey Wave I_Spanish 04JUN2021
Smoker Survey - Wave A (English and Spanish)
Modified
2667
889
31151
Form and Instruction
0920-1083
Smoker Survey - Wave A
Form and Instruction
0920-1083
Smoker Suvey - Wave A Spanish
Form and Instruction
0920-1083
Smoker Survey Wave A_English 04JUN2021
Form and Instruction
0920-1083
Smoker Survey Wave A_Spanish 04JUN2021
Smoker Survey - Wave B (English and Spanish)
Modified
1667
556
19454
Form and Instruction
0920-1083
Smoker Survey - Wave B
Form and Instruction
0920-1083
Smoker Survey - Wave B Spanish
Form and Instruction
0920-1083
Smoker Survey Wave B _English 04JUN2021
Form and Instruction
0920-1083
Smoker Survey Wave B_Spanish 04JUN2021
Smoker Survey - Wave C (English and Spanish)
Modified
1667
556
19462
Form and Instruction
0920-1083
Smoker Survey - Wave C
Form and Instruction
0920-1083
Smoker Survey -- Wave C Spanish
Form and Instruction
0920-1083
Smoker Survey Wave C_English 04JUN2021
Form and Instruction
0920-1083
Smoker Survey Wave C_Spanish 04JUN2021
Smoker Survey - Wave D (English and Spanish)
Modified
1667
556
19454
Form and Instruction
0920-1083
Smoker Suvey - Wave D
Form and Instruction
0920-1083
Smoker Survey - Wave D Spanish
Form and Instruction
0920-1083
Smoker Survey Wave D_English 04JUN2021
Form and Instruction
0920-1083
Smoker Survey Wave D_Spanish 04JUN2021
Smoker Survey - Wave E (English and Spanish)
Modified
1667
556
19454
Form and Instruction
0920-1083
Smoker Survey - Wave E
Form and Instruction
0920-1083
Smoker Survey - Wave E Spanish
Form and Instruction
0920-1083
Smoker Survey Wave E_English 04JUN2021
Form and Instruction
0920-1083
Smoker Survey Wave E_Spanish 04JUN2021
Total burden requested under this ICR:
40434
9308
232096
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