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Federal forms, ICRs, and supporting documents

Information Collection

Follow-up Study of Chronic Fatigue Syndrome in Georgia (Survey of Chronic Fatigue Syndrome & Chronic Unwellness in Georgia-Base Line Survey)

IC 7106 under ICR 200712-0920-006 · OMB 0920-0638.

Documents and Forms
Document Name
Document Type
Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Follow-up Study of Chronic Fatigue Syndrome in Georgia (Survey of Chronic Fatigue Syndrome & Chronic Unwellness in Georgia-Base Line Survey)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 3 Questionnair for Telephone Interview.doc Yes Yes Fillable Printable

Health Illness Prevention

 

2,870 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 2,870 0 2,870 0 0 0
Annual IC Time Burden (Hours) 861 0 861 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 6 Advance Letter Attachment 6 Advance Letter.doc 11/28/2007
Attachment 7A. Non-Contact Letter Attachment 7A Non-Contact Letter.doc 11/28/2007
Attachment 7B. Refusal Letter Attachment 7B Refusal Letter.doc 11/28/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.