Form 6 VA Smoking Cessation Call Backs

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

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NCI/Office of Communications and Public Liaison

APPENDIX 1D

SMOKING CALL BACK TASK

Callback task with Public Burden Statement

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	Smoking Cessation Intake Form (SCIF Screen Shots
Subject	SMOKING CESSATION INTAKE FORM (SCIF) with SCREEN SHOTS
Author	Burstyn, Ilene (NIH/NCI) [E]
File Modified	0000-00-00
File Created	2021-01-20