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Form Approved OMB No. 09200923 Exp. Date 04/30/2014CDC National Media Campaign Revised Smoker Questionnaire Public reporting burden of this collection of information is estimated to average 25 minutes
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Who needs revised smoker questionnaire?

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The revised smoker questionnaire is typically needed by healthcare providers, insurance companies, or research organizations who require detailed information about an individual's smoking habits, history, and related health factors. It may also be required by individuals themselves for personal health assessments or to provide necessary information for certain applications or processes.

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The revised smoker questionnaire is a form used to collect information about individuals who smoke or use tobacco products.
Employers are required to file the revised smoker questionnaire for their employees.
To fill out the revised smoker questionnaire, employers must provide information about their employees' tobacco use.
The purpose of the revised smoker questionnaire is to track tobacco use among employees for health and insurance purposes.
On the revised smoker questionnaire, employers must report which employees use tobacco products.
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