VA Calls Back

Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI's Contact Center, Cancer Information Service (CIS) Clients (NCI)

OMB: 0925-0208

IC ID: 232457

Information Collection (IC) Details

View Information Collection (IC)

VA Calls Back
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5 VA Calls Back Appendix 1E VA Follow Up Calls_2021.docx No   Paper Only

Health Public Health Monitoring

09-25-0156, “Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service  67 FR 60742

8,166 0
   
Individuals or Households
 
   0 %

  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 8,166 0 7,230 0 0 936
Annual IC Time Burden (Hours) 544 0 482 0 0 62
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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