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

View Information Collection (IC)

Tobacco Education in Healthcare (TEacH) Study CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Online screener Attachment A_TEaCH_Online Screener_For OMB_2.7.2025 Clean.docx Yes Yes Fillable Fileable
Other-Confirmation Script Attachment B_TEaCH_Confirmation Script_For OMB_2.7.2025_Clean.docx Yes Yes Fillable Fileable
Other-Phone Screener Attachment C_TEaCH_Phone Screener_For OMB_2.7.2025 CLEAN.docx Yes Yes Fillable Fileable
Other-Recruitment Outreach Attachment D_TEaCH_Recruitment Outreach_For OMB_2.7.2025 Clean.docx Yes Yes Fillable Fileable
Other-Informed Consent Attachment E_TEaCH_Informed Consent_For OMB_2.7.2025 CLEAN.docx Yes Yes Fillable Fileable
Other-Interview Guide Attachment F_TEaCH_Interview Guide_For OMB_2.7.2025 CLEAN.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

2,552 0
   
Private Sector Businesses or other for-profits
 
   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 2,552 0 2,552 0 0 0
Annual IC Time Burden (Hours) 256 0 256 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Individual Collection Under an Approved Generic 0910-0497 Generic OMB Memo_TEaCH_2.7.25_Clean.docx 02/15/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.