Adult Activity Diary and Reminder

Targeted Surveillance and Biometric Studies for Enhanced Evaluation of CTGs

OMB: 0920-0977

IC ID: 203630

Documents and Forms
Document Name
Document Type
Form
Other-Email Reminder
Other-Email Reminder
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Adult Activity Diary and Reminder
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Adult Activity Diary Att 13B_Adult Activity Diary.docx Yes No Fillable Fileable
Other-Email Reminder Att 13D_Accelerometry Reminder.docx Yes No Fillable Fileable
Form none Spanish Adult Activity Diary Att S13B_Adult Diary Spanish.docx Yes Yes Fillable Fileable
Other-Email Reminder Att S13D_Accel Reminder Spanish.docx Yes No Fillable Fileable

Health Immunization Management

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

500 0
   
Individuals or Households
 
   0 %

  Requested 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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 167 0 167 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Accelerometry Instructions Att 13A_Accelerometry Instructions.docx 08/07/2012
Spanish Accelerometry Instructions Att S13A_Accelerometry Instructions Spanish.docx 08/07/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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