OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the National Tobacco Prevention and Control Public Education Campaign

ICR 201306-0920-006 · OMB 0920-0923 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-0923 2013 Non-Smoker Follow-up Questionnaire (Phase 2) Form and Instruction Modified Available
2013 Smoker Follow-up Questionnaire (Phase 2) Form and Instruction Modified Available
Form 0920-0923 Screening and Consent Process (Phase 2Survey) Form and Instruction Modified Available
0920-0923 Change Request_5 29 2013.docx Justification for No Material/Nonsubstantive Change Uploaded 2013-06-05 Repair queued
Att I-c. 2012 Nonsmoker Baseline Survey (D-1).pdf Supplementary Document Uploaded 2013-02-13 Available
Att D-2b. Nonsmoker Survey_Screenshots Rev Dec28 v2.pdf Supplementary Document Uploaded 2013-02-07 Repair queued
Att I-a. 2012 Smoker_Baseline_Questionnaire (C-1).docx Supplementary Document Uploaded 2013-02-13 Repair queued
Att C-2b. Smoker Survey_Screenshots Rev Dec28 v2.pdf Supplementary Document Uploaded 2013-02-07 Available
Att E-2. Email Notification and Reminders.doc Supplementary Document Uploaded 2013-02-04 Repair queued
Att F-1. KN Recruitment Procedures.DOC Supplementary Document Uploaded 2013-02-07 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
200741 2013 Non-Smoker Follow-up Questionnaire (Phase 2) Form and Instruction Modified
200739 2013 Smoker Follow-up Questionnaire (Phase 2) Form and Instruction Modified
200737 Screening and Consent Process (Phase 2Survey) Form and Instruction Modified
ICR Details
0920-0923 201306-0920-006
Historical Active 201302-0920-014
HHS/CDC 19741
Evaluation of the National Tobacco Prevention and Control Public Education Campaign
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 06/19/2013
Retrieve Notice of Action (NOA) 06/13/2013
Previous terms continue: All communications about the evaluation results via these uses of the information, including any and all Congressional testimony, will carefully enumerate and describe any underlying limitations of the data and ensure that evaluation results are interpreted with appropriate care and caution. CDC acknowledges that study design limitations decrease their capacity to draw nationally representative conclusions about either smoking-related knowledge and behavior or the impact of the campaign on long-term quit rates in sub-populations.
  Inventory as of this Action Requested Previously Approved
04/30/2014 04/30/2014 04/30/2014
61,273 0 61,273
8,765 0 8,765
0 0 0
In 2012, CDC's Office on Smoking and Health (OSH) conducted baseline and follow-up surveys to assess awareness of and exposure to tobacco education advertisements that were launched in the Tips from Former Smokers campaign (TIPS Phase 1). New ads will be fielded in 2013 (TIPS Phase 2). CDC requests OMB approval conduct an additional follow-up survey in 2013.
PL: Pub.L. 111 - 31 203 Name of Law: Family Smoking Prevention and Tobacco Control Act
   US Code: 42 USC 301 Name of Law: Public Health Service Act
   PL: Pub.L. 111 - 148 4004 Name of Law: Patient Protection and Affordable Care Act
  
None
Not associated with rulemaking
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 61,273 61,273 0 0 0 0
Annual Time Burden (Hours) 8,765 8,765 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$2,096,533
Yes Part B of Supporting Statement
No
Yes
No
No
Uncollected
Tony Richardson 404 639-4965 [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.
06/13/2013