Information Collection Request

Extended Evaluation of the National Tobacco Prevention and Control Public Education Campaign

ICR 201909-0920-005 · OMB 0920-1083 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1083 Nonsmoker Survey - Wave I (English and Spanish) Form and Instruction New Available
Form 0920-1083 Nonsmoker Survey - Wave H (English and Spanish) Form and Instruction New Repair queued
Form 0920-1083 Nonsmoker Survey - Wave G (English and Spanish) Form and Instruction New Available
Form 0920-1083 Nonsmoker Survey - Wave F (English and Spanish) Form and Instruction New Available
Form 0920-1083 Smoker Survery - Wave I (English and Spanish) Form and Instruction New Available
Form 0920-1083 Smoker Survery - Wave H (English and Spanish) Form and Instruction New Repair queued
Form 0920-1083 Smoker Survery - Wave G (English and Spanish) Form and Instruction New Available
Form 0920-1083 Smoker Survery - Wave F (English and Spanish) Form and Instruction New Available
Form 0920-1083 Nonsmoker Survey - Wave E (English and Spanish) Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave E (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey - Wave A (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Non-smoker Survey - Wave D (English and Spanish) Form and Instruction Modified Available
Form 0920-1083 Non-smoker Survey - Wave C (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Non-smoker Survey - Wave B (English and Spanish) Form and Instruction Modified Available
Form 0920-1083 Non-smoker Survey - Wave A (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey - Wave D (English and Spanish) Form and Instruction Modified Available
Form 0920-1083 Smoker Survey - Wave C (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Smoker Survey - Wave B (English and Spanish) Form and Instruction Modified Repair queued
Form 0920-1083 Screening and Consent (English and Spanish) Form and Instruction Modified Available
684_NTEC.pdf Supplementary Document Uploaded 2019-10-07 Available
Privacy Narrative PDF OMB 0920_1083_12_19_18 signed 09-12-19.pdf Supplementary Document Uploaded 2019-10-07 Available
Attachment J. Source of Respondents for Each Wave of Data Collection.docx Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment I-3. ABS Sample Postcard Reminders.pdf Supplementary Document Uploaded 2019-10-07 Available
Attachment I-2. KnowledgePanel Email Invitation Reminders.doc Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment I-1. ABS Sample Invitation Letters.pdf Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment H. GfK-Ipsos Privacy and Security Procedures.doc Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment G. RTI IRB Approval Notice.pdf Supplementary Document Uploaded 2019-10-07 Available
Attachment F. KnowledgePanel Recruitment Procedures.doc Supplementary Document Uploaded 2019-10-07 Available
Attachment E-3. Changes to Wave A-I Nonsmoker Survey 12-5-18.docx Supplementary Document Uploaded 2019-10-07 Repair queued
Attachment D-3. Changes to Wave A-I Smoker Survey Updated.docx Supplementary Document Uploaded 2019-10-09 Repair queued
Attachment B-1. 60-Day FRN Published 4-23-19.pdf Supplementary Document Uploaded 2019-10-07 Available
Attachment A-3. PPHF.pdf Supplementary Document Uploaded 2019-10-07 Available
Attachment A-2. Familly Smoking Prevention & Tobacco Control Act.PDF Supplementary Document Uploaded 2019-10-07 Available
Attachment A-1. Public Health Service Act.doc Supplementary Document Uploaded 2019-10-07 Available
Part B_Evaluation ICR_6-10-19.docx Supporting Statement B Uploaded 2019-10-07 Repair queued
Part A_Evaluation ICR_6-10-19 final.docx Supporting Statement A Uploaded 2019-10-07 Available
IC Document Collections
IC IDCollectionTypeStatusForm
237915 Nonsmoker Survey - Wave I (English and Spanish) Form and Instruction New
237914 Nonsmoker Survey - Wave H (English and Spanish) Form and Instruction New
237912 Nonsmoker Survey - Wave G (English and Spanish) Form and Instruction New
237911 Nonsmoker Survey - Wave F (English and Spanish) Form and Instruction New
237910 Smoker Survery - Wave I (English and Spanish) Form and Instruction New
237909 Smoker Survery - Wave H (English and Spanish) Form and Instruction New
237907 Smoker Survery - Wave G (English and Spanish) Form and Instruction New
237906 Smoker Survery - Wave F (English and Spanish) Form and Instruction New
228674 Nonsmoker Survey - Wave E (English and Spanish) Form and Instruction Modified
228673 Smoker Survey - Wave E (English and Spanish) Form and Instruction Modified
218056 Smoker Survey - Wave A (English and Spanish) Form and Instruction Modified
217194 Non-smoker Survey - Wave D (English and Spanish) Form and Instruction Modified
217193 Non-smoker Survey - Wave C (English and Spanish) Form and Instruction Modified
217192 Non-smoker Survey - Wave B (English and Spanish) Form and Instruction Modified
217191 Non-smoker Survey - Wave A (English and Spanish) Form and Instruction Modified
217190 Smoker Survey - Wave D (English and Spanish) Form and Instruction Modified
217189 Smoker Survey - Wave C (English and Spanish) Form and Instruction Modified
217188 Smoker Survey - Wave B (English and Spanish) Form and Instruction Modified
217186 Screening and Consent (English and Spanish) Form and Instruction Modified
ICR Details
0920-1083 201909-0920-005
Active 201709-0920-003
HHS/CDC 15PI
Extended Evaluation of the National Tobacco Prevention and Control Public Education Campaign
Revision of a currently approved collection   No
Regular
Approved without change 03/30/2020
Retrieve Notice of Action (NOA) 10/10/2019
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. Also, per prior terms of clearance, approval of any future tobacco-related campaign evaluations (including future revisions of this package) will require a coordinated approach among federal partners (including CDC, FDA, NIH, and SAMHSA) on outcome measures and questionnaire items. Future data collection requests related to tobacco will include a section in supporting statement Part A describing this collaboration and what steps have been made to harmonize data elements and outcome measures as well as a description of steps taken to eliminate duplication of effort across the federal government in the area of tobacco information collection. Areas where there may be significant overlap include, but are not limited to, cessation behavior, perceptions of health risk, health status, etc.
  Inventory as of this Action Requested Previously Approved
03/31/2023 36 Months From Approved 03/31/2020
40,434 0 58,000
9,308 0 18,583
232,096 0 433,980

This study will enable Centers for Disease Control and Prevention (CDC) to continue to measure exposure and awareness of the Tips From Former Smokers ® campaign and to evaluate its impact on campaign-targeted outcomes among smokers and nonsmokers in the United States. This ICR is being submitted as a revision with minor changes of a longitudinal web-based survey previously approved as OMB No. 0920-1083.

PL: Pub.L. 111 - 148 4001 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 31 123 Name of Law: Family Smoking Prevention and Tobacco Control
   US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 16863 04/23/2019
84 FR 54151 10/09/2019
No

19
IC Title Form No. Form Name
Non-smoker Survey - Wave A (English and Spanish) 0920-1083, 0920-1083 Nonsmoker Survey - Wave A ,   Nonsmoker Survey - Wave A Spanish
Screening and Consent (English and Spanish) 0920-1083, 0920-1083 Screener and Consent Spanish ,   Screening and Consent
Smoker Survey - Wave B (English and Spanish) 0920-1083, 0920-1083 Smoker Survey - Wave B Spanish ,   Smoker Survey - Wave B
Smoker Survey - Wave C (English and Spanish) 0920-1083, 0920-1083 Smoker Survey - Wave C ,   Smoker Survey -- Wave C Spanish
Smoker Survey - Wave D (English and Spanish) 0920-1083, 0920-1083 Smoker Suvey - Wave D ,   Smoker Survey - Wave D Spanish
Non-smoker Survey - Wave B (English and Spanish) 0920-1083, 0920-1083 Nonsmoker Survey - Wave B ,   Nonsmoker Survey - Wave B Spanish
Non-smoker Survey - Wave C (English and Spanish) 0920-1083, 0920-1083 Nonsmoker Survey - Wave C ,   Nonsmoker Survey - Wave C Spanish
Non-smoker Survey - Wave D (English and Spanish) 0920-1083, 0920-1083 Nonsmoker Survey - Wave D ,   Nonsmoker Survey - Wave D Spanish
Smoker Survey - Wave A (English and Spanish) 0920-1083, 0920-1083 Smoker Survey - Wave A ,   Smoker Suvey - Wave A Spanish
Nonsmoker Survey - Wave E (English and Spanish) 0920-1083, 0920-1083 Nonsmoker Survey - Wave E ,   Nonsmoker Survey - Wave E Spanish
Smoker Survey - Wave E (English and Spanish) 0920-1083, 0920-1083 Smoker Survey - Wave E ,   Smoker Survey - Wave E Spanish
Smoker Survery - Wave F (English and Spanish) 0920-1083, 0920-1083 Smoker Survey - Wave F ,   Smoker Survey - Wave F Spanish
Smoker Survery - Wave G (English and Spanish) 0920-1083, 0920-1083 Smoker Survey - Wave G ,   Smoker Survey - Wave G Spanish
Smoker Survery - Wave H (English and Spanish) 0920-1083, 0920-1083 Smoker Survey - Wave H ,   Smoker Survey - Wave H Spanish
Smoker Survery - Wave I (English and Spanish) 0920-1083, 0920-1083 Smoker Survey - Wave I Spanish ,   Smoker Survey - Wave I
Nonsmoker Survey - Wave F (English and Spanish) 0920-1083, 0920-1083 Nonsmoker Survey - Wave F ,   Nonsmoker Survey - Wave F Spanish
Nonsmoker Survey - Wave G (English and Spanish) 0920-1083, 0920-1083 Nonsmoker Survey - Wave G ,   Nonsmoker Survey - Wave G Spanish
Nonsmoker Survey - Wave H (English and Spanish) 0920-1083, 0920-1083 Nonsmoker Survey - Wave H ,   Nonsmoker Survey - Wave H Spanish
Nonsmoker Survey - Wave I (English and Spanish) 0920-1083, 0920-1083 Nonsmoker Survey - Wave I ,   Nonsmoker Survey - Wave I Spanish

  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 40,434 58,000 0 -25,899 8,333 0
Annual Time Burden (Hours) 9,308 18,583 0 -12,051 2,776 0
Annual Cost Burden (Dollars) 232,096 433,980 0 -240,768 38,884 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Burden times were decreased, with additional waves added for a net decrease in burden hours.

$3,530,745
Yes Part B of Supporting Statement
    Yes
    No
Yes
No
No
Uncollected
Kevin Joyce 404 639-1944 [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.
10/10/2019