CANCER PREVENTION (SMOKING) IN BLACK POPULATIONS: MULTIPLE COMMUNITY BASED INTERVENTION

ICR 198808-0925-002

OMB: 0925-0328

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0925-0328 198808-0925-002
Historical Active
HHS/NIH
CANCER PREVENTION (SMOKING) IN BLACK POPULATIONS: MULTIPLE COMMUNITY BASED INTERVENTION
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/15/1988
Retrieve Notice of Action (NOA) 08/30/1988
  Inventory as of this Action Requested Previously Approved
11/30/1991 11/30/1991
14,318 0 0
2,393 0 0
0 0 0

BOTH IN-PERSON AND TELEPHONE SURVEYS WILL BE USED TO ASSESSMENT THE EFFECTIVENESS OF A COMMUNITY BASED SMOKING INTERVENTION IN THREE DISTINCT GEOGRAPHIC LOCATIONS. THE DATA WILL HELP GUIDE NCI NATIONAL CANCER PREVENTION AND CONTROL PROGRAM AND PROVIDE NEEDED INFORMATION TO ASSESS AN EDUCATIONAL INTERVENTION IN THE BLACK POPULATION WHICH IS DISPROPORTIONATELY EFFECTED BY CANCERS RELATED TO

None
None


No

1
IC Title Form No. Form Name
CANCER PREVENTION (SMOKING) IN BLACK POPULATIONS: MULTIPLE COMMUNITY BASED INTERVENTION

  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 14,318 0 0 14,318 0 0
Annual Time Burden (Hours) 2,393 0 0 2,393 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
08/30/1988


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