Information Collection Request

[NCCDPHP] National Quitline Data Warehouse

ICR 202503-0920-037 · OMB 0920-0856 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
ASQ Intake Questionnaire (Chinese, Korean, Vietnamese - Subset) Form and Instruction Unchanged Repair queued
Asian Smokers Quitline (ASQ) Seven-Month Follow-Up Questionnaire Form and Instruction Unchanged Available
Asian Smokers Quitline (ASQ) Intake Questionnaire (Complete Chinese, Korean, Vietnamese) Form and Instruction Unchanged Repair queued
NQDW Quitline Services Survey Form and Instruction Unchanged Missing upstream
NQDW Intake Questionnaire (English complete) - Callers who contact Quitline for themselves Form and Instruction Modified Repair queued
NQDW Intake Questionnaire (English subset) - Callers who contact Quitline on behalf of someone else Form and Instruction Unchanged Repair queued
Change Request Memo - EO14168 NQDW_final.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-07-23 Repair queued
0856 NQDW Att H_Sample Table Shells Updated 2025_tracked_072025_final.docx Supplementary Document Uploaded 2025-07-23 Repair queued
0856 NQDW Att G9_Intake or Survey Outstanding Data Prompt.docx Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW Att G8_Intake, Survey, or 7-month Follow-up Past Due Prompt.docx Supplementary Document Uploaded 2022-07-22 Available
0856 NQDW Att G7-Month Follow-up Data Request.docx Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW Att G6_Intake-Survey Data Request_With Outstanding Data.docx Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW Att G5_Intake-Survey Data Request_Without Outstanding Data.docx Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW Att G4_Intake Data Request_With Outstanding Data.docx Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW Att G3_Intake Data Request_Without Outstanding Data.docx Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW Att G1_Data Collection Calendar.docx Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW Att B_Consultants on NQDW.docx Supplementary Document Uploaded 2022-07-22 Available
0856 NQDW Att A3_Summary of Public Comments.docx Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW Att A2_Published 60-day FRN_2021-14441.pdf Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW Att A1_Public Health Service Act_42 USC 241.pdf Supplementary Document Uploaded 2022-07-22 Repair queued
0856 NQDW_SSB_clean.docx Supporting Statement B Uploaded 2022-07-22 Repair queued
0856 NQDW_SSA rk_final.docx Supporting Statement A Uploaded 2025-07-23 Repair queued
ICR Details
0920-0856 202503-0920-037
Received in OIRA 202207-0920-001
HHS/CDC 0920-25-0067
[NCCDPHP] National Quitline Data Warehouse
No material or nonsubstantive change to a currently approved collection   No
Regular 07/23/2025
  Requested Previously Approved
03/31/2026 03/31/2026
408,368 408,368
68,089 68,089
1,841,076 1,841,076

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.

PL: Pub.L. 111 - 148 4002 Name of Law: Patient Protection and Affordable Care Act PPHF
   US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  86 FR 35797 07/07/2021
87 FR 43862 07/22/2022
Yes

  Total Request 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
No
No
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.

$1,337,262
Yes Part B of Supporting Statement
    No
    No
Yes
No
No
No
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.
07/23/2025