Web Re-Entry iCLIC

interactive Comprehensive Lifestyle Interview by Computer (iCLIC) Study (NCI)

OMB: 0925-0594

IC ID: 186347

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Web Re-Entry iCLIC
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 8 Web Re-Entry Att 8_Re-Entry Screenshots.doc Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,716 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 10,296 0 0 8,536 0 1,760
Annual IC Time Burden (Hours) 858 0 0 711 0 147
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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