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Study to Assess Hepatitis Risk: Behavioral Risk Assessment Form

IC 185972 under ICR 200808-0920-001 · OMB 0920-0804.

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

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Study to Assess Hepatitis Risk: Behavioral Risk Assessment Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 Study to Assess Hepatitis Risk: Behavioral Risk Assessment Form Attach4.doc Yes Yes Fillable Fileable

Health Public Health Monitoring

 

800 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 800 0 800 0 0 0
Annual IC Time Burden (Hours) 733 0 733 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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