Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS)

Next Series of Tobacco Use Supplements to the Current Population Survey (TUS-CPS) (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0368 can be found here:

Documents and Forms

Document Name Document Type
Form 3 Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS) Form and Instruction
3 TUS-CPS Q Spanish ATTACHMENT 12 Spanish Translation.pdf Form and Instruction
2 TUS-CPS Q ATTACHMENT 1_TUS-CPS Q 1-12-10 updt fnl rv4.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Main 2010-2011 Tobacco Use Supplement Questionnaire (TUS-CPS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	TUS-CPS Q Spanish	ATTACHMENT 12 Spanish Translation.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	TUS-CPS Q	ATTACHMENT 1_TUS-CPS Q 1-12-10 updt fnl rv4.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	90,000	90,000
Annual IC Time Burden (Hours)	13,500	13,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.