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Part IV of Study of Individuals at Risk for Stress Related Illnesses
Part IV of Study of Individuals at Risk for Stress Related Illnesses
OMB: 2900-0614
IC ID: 28865
OMB.report
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OMB 2900-0614
ICR 200112-2900-002
IC 28865
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0614 can be found here:
2002-09-13 - No material or nonsubstantive change to a currently approved collection
2002-03-05 - Reinstatement with change of a previously approved collection
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:
Part IV of Study of Individuals at Risk for Stress Related Illnesses
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
Form
10-21036(NR)
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
0
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
0
0
-700
0
0
700
Annual IC Time Burden (Hours)
0
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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Document
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.