View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Sub-studies #11 & #12 - Web-based Surveys of Cancer Research in Media 2010 Workshop (#11) & Smokefree.gov Users (#12)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Follow-Up Survey_English #11_Attach11B_Follow-up Survey_English.docx Yes Yes Fillable Fileable
Form and Instruction 2 Follow-Up Survey_Portuguese #11_CRIM_Attach11C_Follow-up Screenshots_Portuguese.doc Yes Yes Fillable Fileable
Form and Instruction 3 Follow-Up Survey_Spanish #11_CRIM_Attach11D_Follow-up Screenshots_Spanish.docx Yes Yes Fillable Fileable
Form and Instruction 4 #12 Smokefree.gov Screenshots Part 1 #12_Attach 1A_TCRB Screenshot_5-8-2012.jpg Yes Yes Fillable Fileable
Form and Instruction 5 #12 Smokefree.gov Screenshots Part 2 #12_Attach 1B_TCRB Screenshot_5-8-2012.jpg Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

3,025 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,025 0 0 0 0 0
Annual IC Time Burden (Hours) 256 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast-Track Request #11_Follow-up Multi-Lang Survey Fast-Track Request #11_Follow-up Multi-Lang Survey.doc 04/18/2012
#11_Attach11A_Invite Email #11_Attach11A_Invite Email.docx 04/18/2012
Fast-Track Request #12_Smokefree.gov User Survey #12_TCRB_Fast Track Request.doc 05/14/2012
Memo to OMB re: Bundle Bundle Memo for OMB.docx 05/14/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.