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Descriptive Epidemiology of Missed or Delayed Diagnosis for Conditions Detected by Newborn Screening - Case Report Form

IC 46570 under ICR 200612-0920-009 · OMB 0920-0641.

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Descriptive Epidemiology of Missed or Delayed Diagnosis for Conditions Detected by Newborn Screening - Case Report Form
 
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 Attachment 6 Case Report Form 0920-0641 Attachment 6 Case Report Form.doc Yes Yes Printable Only

Health Public Health Monitoring

 

135 0
   
State, Local, and Tribal Governments
 
   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 135 0 135 0 0 0
Annual IC Time Burden (Hours) 23 0 23 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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