OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Online Participant Screener

IC 191589 under ICR 201003-0910-001 · OMB 0910-0656.

Documents and Forms
Document Name
Document Type
Other-Screener
Information Collection (IC) Details

View Information Collection (IC)

Online Participant Screener
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener GF Online Screener Rev 10-14-09.doc Yes Yes Fillable Printable

Health Consumer Health and Safety

 

9,800 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 9,800 0 0 0 0 9,800
Annual IC Time Burden (Hours) 490 0 0 0 0 490
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.