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Federal forms, ICRs, and supporting documents

Information Collection

Patient Interview Study

IC 137446 under ICR 199409-1910-002 · OMB 1910-0071.

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Information Collection (IC) Details

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PATIENT INTERVIEW STUDY
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ACHRE-1 No No


    

1,050 0
   
Individuals or Households
 
   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 1,050 0 1,050 0 0 0
Annual IC Time Burden (Hours) 305 0 305 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.