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

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

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: Removed

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 New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	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.