OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Comparing the Effectiveness of the Traditional Evidence-based Tobacco Cessation Interventions to Newer and Innovative Interventions Used by Comprehensive Cancer Control Programs

ICR 201108-0920-012 · OMB 0920-0917 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Follow-up Survey for Web Clients Form New Available
Follow-up Survey for Quitline Clients Form New Available
Intake Data for Web Clients Form New Available
Intake Data for Quitline Clients Form New Available
OMB_QLCER_Promotion_and_Cessation_Study_SSB_081111.docx Supporting Statement B Uploaded 2011-08-17 Available
Appendix 09_ Selected States for Cessation Component updated 082211.docx Supplementary Document Uploaded 2011-08-24 Repair queued
Appendix 11_IRB Documenation.pdf Supplementary Document Uploaded 2011-08-17 Available
Appendix 10_References.docx Supplementary Document Uploaded 2011-08-17 Available
Appendix 08_Lead_Letter_for_Follow-up_Data_Collection_061311.docx Supplementary Document Uploaded 2011-08-17 Available
Appendix 07_Follow-up_Data_Collection_Consent_Form_061311.docx Supplementary Document Uploaded 2011-08-17 Available
Appendix 03_Overall Study Flowchart 060311.docx Supplementary Document Uploaded 2011-08-17 Available
Appendix 02b_Summary of Public Comments and CDC Response_081011.docx Supplementary Document Uploaded 2011-08-17 Available
Appendix 02a_Federal Register Notice.pdf Supplementary Document Uploaded 2011-08-17 Available
Appendix 01b_ARRA of 2009.pdf Supplementary Document Uploaded 2011-08-17 Available
Appendix 01a_Authorizing Legislation PHSA.docx Supplementary Document Uploaded 2011-08-17 Available
OMB_QLCER_Promotion_and_Cessation_Study_SSA_081211.docx Supporting Statement A Uploaded 2011-08-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
199080 Follow-up Survey for Web Clients Form New
199079 Follow-up Survey for Quitline Clients Form New
199078 Intake Data for Web Clients Form New
199077 Intake Data for Quitline Clients Form New
199076 Quitline Promotional Activities Instruction New
ICR Details
0920-0917 201108-0920-012
Historical Active
HHS/CDC
Comparing the Effectiveness of the Traditional Evidence-based Tobacco Cessation Interventions to Newer and Innovative Interventions Used by Comprehensive Cancer Control Programs
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/19/2012
Retrieve Notice of Action (NOA) 08/30/2011
  Inventory as of this Action Requested Previously Approved
01/31/2014 30 Months From Approved
4,216 0 0
1,037 0 0
0 0 0
The study's cessation component will examine the comparative effectiveness of Web-bsed interventions and traditional telephone-based counseling services offered through Quitlines. The promotional activities component will examine various QL promotional strategies and QL client demographics.
US Code: 42 USC 301 Name of Law: Public Health Service Act
   PL: Pub.L. 111 - 5 VIII Name of Law: American Recover and Reinvestment Act of 2009
  
None
Not associated with rulemaking
  76 FR 34995 06/15/2011
76 FR 51984 08/19/2011
Yes
  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 4,216 0 0 4,216 0 0
Annual Time Burden (Hours) 1,037 0 0 1,037 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR - it is ARRA related.
$1,128,804
Yes Part B of Supporting Statement
Yes
No
No
Yes
Uncollected
Daniel Holcomb 770 488-4472 [email protected]
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/30/2011