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Pilot Survey To Test The Feasibility Of Collecting Behavioral/causal Data From Victims Treated In Hospital Emergency Rooms For Product-related Injuries Either 1) In

IC 149171 under ICR 198604-3041-002 · OMB 3041-0073.

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Information Collection Instruments:
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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Federal Enterprise Architecture Business Reference Module


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  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,460 0 1,460 0 0 0
Annual IC Time Burden (Hours) 62 0 62 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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