OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the National Tobacco Prevention and Control Public Education Campaign

ICR 201408-0920-002 · OMB 0920-0923 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Non-smoker Follow-up Survey Wave 4 Form Unchanged Available
Non-smoker Follow-up Survey Wave 3 Form Unchanged Repair queued
Non-smoker Follow-up Survey Wave 2 Form Unchanged Available
Smoker Follow-up Survey Wave 5 Form Unchanged Available
Smoker Follow-up Survey Wave 4 Form Unchanged Repair queued
Smoker Follow-up Survey Wave 3 Form Unchanged Repair queued
Smoker Follow-up Survey Wave 2 Form Unchanged Repair queued
Non-Smoker Survey Wave 1 Form Unchanged Available
Smoker Wave 1 Survey Form and Instruction Unchanged Available
Screening and Consent Form Unchanged Repair queued
0920-0923 Change Request Justification_8-07-14.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-08-07 Available
Attachment C-3 REVISED Smoker Follow-Up Survey (Waves 2-5).docx Supplementary Document Uploaded 2014-08-07 Repair queued
Attachment C-5 REVISED Nonsmoker Follow-Up (Waves 2-5).docx Supplementary Document Uploaded 2014-08-07 Repair queued
SS Part B_01 31 2014.docx Supporting Statement B Uploaded 2014-02-10 Repair queued
Attachment G-3 ABS Sample Post Card Reminders.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment G-2 KnowledgePanel Email Invitation Reminders 1-15-14.doc Supplementary Document Uploaded 2014-02-10 Available
Attachment G-1 ABS Sample Invitation Letter 2 6 2014.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment F-1 GfK Privacy and Security Procedures.doc Supplementary Document Uploaded 2014-02-10 Available
Attachment E-1 RTI IRB Approval Notice.pdf Supplementary Document Uploaded 2014-02-10 Available
Attachment D-1 KnowledgePanel Recruitment Procedures.DOC Supplementary Document Uploaded 2014-02-10 Available
Attachment C-6 Summary of Key Construct Changes.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment B-2 Summary of Public Comments.pdf Supplementary Document Uploaded 2014-02-10 Available
Attachment B-1 Federal Register Notice.pdf Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment A-3 PPHF.pdf Supplementary Document Uploaded 2014-02-10 Available
Attachment A-2 Familly Smoking Prevention & Tobacco Control Act.PDF Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment A-1 Public Health Service Act.doc Supplementary Document Uploaded 2014-02-10 Available
Attachment C-5 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment C-5 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-5 Nonsmoker Follow-Up Survey (Waves 2-5) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-5 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-5 Nonsmoker Follow-Up Survey (Waves 2-5) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-3 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-3 Smoker Follow-Up Survey (Waves 2-5)_2-6-14.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment C-3 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment C-3 Smoker Follow-Up Survey (Waves 2-5)_2-6-14.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment C-3 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment C-3 Smoker Follow-Up Survey (Waves 2-5)_2-6-14.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment C-3 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-2 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment C-2 Smoker Wave 1 Survey_2-6-14.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment C-4 Nonsmoker Wave 1 Survey 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Repair queued
Attachment C-4 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-2 Smoker Wave 1 Survey_2-6-14.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-2 (Spanish) 2-6-14.docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-1 Screening Questionnaire 2-6-14 (FINAL).docx Supplementary Document Uploaded 2014-02-10 Available
Attachment C-1 (Spanish) 2-6-14.doc Supplementary Document Uploaded 2014-02-10 Available
SS Part A_02 06 2014.docx Supporting Statement A Uploaded 2014-02-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
210363 Non-smoker Follow-up Survey Wave 4 Form Unchanged
210362 Non-smoker Follow-up Survey Wave 3 Form Unchanged
210361 Non-smoker Follow-up Survey Wave 2 Form Unchanged
210360 Smoker Follow-up Survey Wave 5 Form Unchanged
210359 Smoker Follow-up Survey Wave 4 Form Unchanged
210358 Smoker Follow-up Survey Wave 3 Form Unchanged
210357 Smoker Follow-up Survey Wave 2 Form Unchanged
200741 Non-Smoker Survey Wave 1 Form Unchanged
200739 Smoker Wave 1 Survey Form and Instruction Unchanged
200737 Screening and Consent Form Unchanged
ICR Details
0920-0923 201408-0920-002
Historical Inactive 201402-0920-011
HHS/CDC 21420
Evaluation of the National Tobacco Prevention and Control Public Education Campaign
No material or nonsubstantive change to a currently approved collection   No
Regular
Improperly submitted and continue 09/02/2014
Retrieve Notice of Action (NOA) 08/11/2014
  Inventory as of this Action Requested Previously Approved
03/31/2017 03/31/2017 03/31/2017
28,447 0 28,447
8,777 0 8,777
0 0 0
CDC requests non-substantive changes to portions of this data collection activity due to the rapidly changing landscape of electronic vapor products and their advertising.
PL: Pub.L. 111 - 148 4004 Name of Law: Patient Protection and Affordable Care Act
   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
  
None
Not associated with rulemaking
  78 FR 69680 11/20/2013
79 FR 8910 02/11/2014
Yes
No
No
CDC proposes to assess long-term campaign effects. More intensive follow-up will be conducted with a smaller number of respondents. Five surveys will be conducted with smokers and 4 surveys with non-smokers. New ICs were created for the additional follow-up surveys.
$3,329,673
Yes Part B of Supporting Statement
No
Yes
No
No
Uncollected
Carol Marsh 404 639-4773 [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.
08/11/2014