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Federal forms, ICRs, and supporting documents

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Sickle Cell Disease Treatment Demonstration Program (SCDTDP) Evaluation - PedsQL for children & adolescents

IC 197493 under ICR 201204-0915-001 · OMB 0915-0344.

Documents and Forms
Document Name
Document Type
Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Sickle Cell Disease Treatment Demonstration Program (SCDTDP) Evaluation - PedsQL for children & adolescents
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction ATTACH_P_scoring_PedsQL_v6.pdf Yes No Printable Only
Form and Instruction PedsQL Pediatric Quality of Life Inventory for children and adolescents age 18 or younger PedsQL Version 4.0 ShortForm (SF15).pdf Yes Yes Fillable Fileable

Health Health Care Services

 

225 0
   
Individuals or Households
 
   100 %

  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 450 0 0 0 0 450
Annual IC Time Burden (Hours) 90 0 0 -23 0 113
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.