Participant Re-screener

Focus Group Study for Raising Public Awareness of Deep Vein Thrombosis/Pulmonary Embolism

OMB: 0920-0899

IC ID: 198206

Information Collection (IC) Details

View Information Collection (IC)

Participant Re-screener
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Participant Re-Screener - Adults 25-64 Recently Hospitalized Attachment 5 Hospitalized Rescreener_R.docx No No Paper Only
Form none Participant Re-screener - Seniors 65-80 Attachment 6 Senior Rescreener_R.docx No No Paper Only

Health Consumer Health and Safety

 

36 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 36 0 36 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
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.

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