Information Collection

Physician-based Assessment And Counseling For Exercise (pace): A Pilot Study

IC 111037 under ICR 199204-0920-007 · OMB 0920-0303.

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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:

table that charts list of 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: 960

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	960	960
Annual IC Time Burden (Hours)	552	552
Annual IC Cost Burden (Dollars)	0	0

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Title	Document	Date Uploaded

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