SEARCH Health Questionnaire - Young Adult Version (age 18 and older)

SEARCH for Diabetes in Youth Study

OMB: 0920-0904

IC ID: 197869

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SEARCH Health Questionnaire - Young Adult Version (age 18 and older)
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 4b1_health questionnaire young adult cohort.pdf Yes Yes Fillable Printable

Health Public Health Monitoring

 

5 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested 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 710 0 710 0 0 0
Annual IC Time Burden (Hours) 178 0 178 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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