Information Collection

Part A Reducing the Risk and Cuidate

IC 200817 under ICR 201201-0990-004 · OMB 0990-0394.

Documents and Forms

Document Name Document Type
TPP Replication Study Baseline-Attachment E Survey Part A Reducing the Risk and Cuidate_v1.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Part A Reducing the Risk and Cuidate	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			TPP Replication Study Baseline-Attachment E Survey Part A Reducing the Risk and Cuidate_v1.docx		No		Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,850	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,850	2,850
Annual IC Time Burden (Hours)	713	713
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.