Spanish Trench Safety CD-ROM

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 211317

Information Collection (IC) Details

View Information Collection (IC)

Spanish Trench Safety CD-ROM 14VJ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Survey - Spanish Attachment B-Survey Items Spanish-Flynn_4-11-14.docx Yes No Paper Only
Form none Recruitment Script Attachment D-Recruitment Script Spanish-Flynn_4-14-14.docx Yes No Paper Only

Workforce Management Worker Safety

 

100 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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HMT Request Template HMTS_Expedited_Review_Form_4-11-14.pdf 04/17/2014
Survey - English Attachment C-Survey Items English-Flynn_4-14-14.docx 04/17/2014
Recruitment - English Attachment E-Recruitment Script English-Flynn_4-14-14.docx 04/17/2014
Study Protocol Attachment A-Study Protocol-Flynn_4-14-14.docx 04/17/2014
Informed Consent Attachment F - Informed Consent_4-14-14.docx 04/17/2014
Incentive Justification Attachment G-IncentiveJustification-Flynn_4-14-14.docx 04/17/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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