View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Other Tobacco Products (OTP); A Focus Group Study - Cigar, etc.	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction					Yes	Yes	Printable Only
Instruction					Yes	Yes	Printable Only
Other-Consent Form					Yes	Yes	Printable Only
Other-Moderator Guide					Yes	Yes	Printable Only
Other-FG Screener E-Cigarettes					Yes	Yes	Printable Only
Other-FG Screener Hookah					Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 480	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	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	480	0	0	0	0	480
Annual IC Time Burden (Hours)	528	0	0	0	0	528
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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