Focus Group Screener for Minors

Evaluation of Health Communication Messages for Infertility Prevention Campaign

OMB: 0920-0825

IC ID: 190370

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

View Information Collection (IC)

Focus Group Screener for Minors
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener VS_0920-08AA_Attachment 3D_FG Screener[Minors].doc Yes No Paper Only

Health Illness Prevention

 

48 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 48 0 -6 0 0 54
Annual IC Time Burden (Hours) 4 0 -1 0 0 5
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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