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 what services telephone quitlines offer to tobacco users as well as the number and type of tobacco users who receive services from telephone quitlines.
The latest form for National Quitline Data Warehouse expires 2022-10-31 and can be found here.
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Supporting Statement B |
Supporting Statement A |
Federal Enterprise Architecture: Health - Illness Prevention
Form none | NQDW Intake Questionnaire Subset | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.