Information Collection

Biomedical And Psychosocial Risk Factors For Tooth Loss In Older Americans

IC 111730 under ICR 199301-0925-004 · OMB 0925-0388.

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Information Collection (IC) Details

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IC Title:	BIOMEDICAL AND PSYCHOSOCIAL RISK FACTORS FOR TOOTH LOSS IN OLDER AMERICANS	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: 7,233	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	9,808	9,808
Annual IC Time Burden (Hours)	834	834
Annual IC Cost Burden (Dollars)	0	0

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