Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cancer Info Call Backs Modified 1841 123 0 Form 1 Cancer Information Call Backs
Demographic & Customer Satisfaction Questions (App. 9) Modified 400 13 0 Form 1 Customer Service and Demographic Questions
Demographic & Customer Satisfaction Questions (App.1A or 1 AB) Modified 15754 788 0 Form 1A Customer Service and Demographic Questions
Form 1AB Customer Service and Demographic Questions
E-mail Intake form Modified 9740 1623 0 Form 1 Email Intake Form
LiveHelp Questions Modified 17589 586 0 Form 1 Live Help Questions
Smoking Cessation "Intake" Questions Modified 8839 884 0 Form 1 Smoking Cessation Intake Questions
VA Calls Backs Modified 26055 1737 0 Form 1 VA Call Backs
VA Smoking Cessation Modified 8840 589 0 Form 1 Smoking Call Back Task
Total burden requested under this ICR: 89058 6343 0  
To view an IC, click on IC Title