Information Collection

Multiple Risk Factor Intervention Trial Forms

IC 111207 under ICR 197502-0925-001 · OMB 0925-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0017 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	MULTIPLE RISK FACTOR INTERVENTION TRIAL FORMS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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	NIH-HL-9				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 734,075	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	734,075	194,075	540,000
Annual IC Time Burden (Hours)	68,285	4,400	63,885
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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