View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0856
ICR Reference No:
202503-0920-037
Status:
Active
Previous ICR Reference No:
202207-0920-001
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-25-0067
Title:
[NCCDPHP] National Quitline Data Warehouse
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
08/08/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/23/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2026
03/31/2026
03/31/2026
Responses
408,368
0
408,368
Time Burden (Hours)
68,089
0
68,089
Cost Burden (Dollars)
1,841,076
0
1,841,076
Abstract:
Since 2010, the National Quitline Data Warehouse (NQDW) has collected a core set of information from the 50 U.S. states, the District of Columbia, Guam, and Puerto Rico regarding the services telephone quitlines offer to tobacco users as well as the number and type of tobacco users who receive services from telephone quitlines. This change request makes minor changes based on recent executive orders.
Authorizing Statute(s):
US Code:
42 USC 241
Name of Law: Public Health Service Act
PL:
Pub.L. 111 - 148 4002
Name of Law: Patient Protection and Affordable Care Act PPHF
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 35797
07/07/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 43862
07/22/2022
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
ASQ Intake Questionnaire (Chinese, Korean, Vietnamese - Subset)
None, None, None
ASQ Intake Questionnaire - subset (Chinese)
,
ASQ Intake Questionnaire - subset (Korean)
,
ASQ Intake Questionnaire - subset (Vietnamese)
Asian Smokers Quitline (ASQ) Intake Questionnaire (Complete Chinese, Korean, Vietnamese)
None, None, None
ASQ Intake Questionnaire (Chinese)
,
ASQ Intake Questionnaire (Korean)
,
ASQ Intake Questionnaire (Vietnamese)
Asian Smokers Quitline (ASQ) Seven-Month Follow-Up Questionnaire
None, None, None, None
ASQ 7-month Follow-up Questionnaire (Chinese)
,
ASQ 7-month Follow-up Questionnaire (Korean)
,
ASQ 7-month Follow-up Questionnaire (Vietnamese)
,
ASQ 7-month Follow-up Questionnaire (English translation for reference)
NQDW Intake Questionnaire (English complete) - Callers who contact Quitline for themselves
None
NQDW Intake Questionnaire
NQDW Intake Questionnaire (English subset) - Callers who contact Quitline on behalf of someone else
None
NQDW Intake Questionnaire
NQDW Quitline Services Survey
None
NQDW Quitline Services Survey
Submission of NQDW ASQ Seven-Month Follow-Up Electronic Data File
Submission of NQDW Intake Questionnaire Electronic Data File
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
408,368
408,368
0
0
0
0
Annual Time Burden (Hours)
68,089
68,089
0
0
0
0
Annual Cost Burden (Dollars)
1,841,076
1,841,076
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Burden for 4 ICs decreased due to reductions in the estimated number of responses. Burden for 1 IC increased due to an increase in the estimated number of responses. The burden estimate did not change for 3 ICs. There is a net reduction in total annuzlied burden hours.
Annual Cost to Federal Government:
$1,337,262
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Yes
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Kevin Joyce 404 639-1944 kdj7@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
07/23/2025
An official website of the United States government
The .gov means it's official.
The site is secure.
