Human Behavior in Fire Study - Adults Screened but Ineligible or Refused

Human Behavior in Fire Study

OMB: 0920-0734

IC ID: 45666

Information Collection (IC) Details

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Human Behavior in Fire Study - Adults Screened but Ineligible or Refused
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None assigned Appendix 2_CATI screener script Appendix 2_screenerscript.pdf Yes Yes Printable Only

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  59 FR 67080

109 0
   
Individuals or Households
 
   100 %

  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 109 0 109 0 0 0
Annual IC Time Burden (Hours) 9 0 9 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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