Traumatic Life Events Questionnaire

Registry of Unexplained Fatiguing Illnesses and Chronic Fatigue Syndrome (CFS): A Pilot Study

OMB: 0920-0788

IC ID: 183867

Information Collection (IC) Details

View Information Collection (IC)

Traumatic Life Events Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form No number Traumatic Life Events Questionnaire Attachment 25 Trauumatic Life Events Questionnaire.pdf Yes No Paper Only

Health Illness Prevention

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

196 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 196 0 196 0 0 0
Annual IC Time Burden (Hours) 65 0 65 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Traumatic Life Events Questionnaire - Coverpage Attachment 25 Traumatic Life Events Questionnaire OMB Cover Page.doc 12/19/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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