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Physician-based Assessment And Counseling For Exercise (pace): A Pilot Study
PHYSICIAN-BASED ASSESSMENT AND COUNSELING FOR EXERCISE (PACE): A PILOT STUDY
OMB: 0920-0303
IC ID: 111037
OMB.report
HHS/CDC
OMB 0920-0303
ICR 199204-0920-007
IC 111037
( )
Documents and Forms
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no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
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IC Title:
PHYSICIAN-BASED ASSESSMENT AND COUNSELING FOR EXERCISE (PACE): A PILOT STUDY
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
960
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
960
0
960
0
0
0
Annual IC Time Burden (Hours)
552
0
552
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.