Information Collection

Iowa 65+ Rural Health Study Substudy No. 3 "iowa Bereavement Substudy"

IC 111516 under ICR 198408-0925-013 · OMB 0925-0244.

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Information Collection (IC) Details

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IC Title:	IOWA 65+ RURAL HEALTH STUDY SUBSTUDY NO. 3 "IOWA BEREAVEMENT SUBSTUDY"	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

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