OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Reporting: Main Study Telephone Interview

IC 198722 under ICR 201202-0910-005 · OMB 0910-0696.

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

View Information Collection (IC)

Reporting: Main Study Telephone Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-questionnaire Pilot total ( survey instrument) 7-13-11.doc No No Paper Only

Health Consumer Health and Safety

 

522 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 522 0 0 0 0 522
Annual IC Time Burden (Hours) 172 0 0 0 0 172
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.