Caregiver Survey Recruitment Screener

Targeted Surveillance and Biometric Studies for Enhanced Evaluation of CTGs

OMB: 0920-0977

IC ID: 203631

Information Collection (IC) Details

View Information Collection (IC)

Caregiver Survey Recruitment Screener
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Caregiver Screener Att 11E_Caregiver Screener.docx Yes Yes Fillable Fileable
Form none Spanish Caregiver Screener Att S11E_ Caregiver Screener Spanish.docx Yes Yes Fillable Fileable

Health Immunization Management

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

800 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 800 0 800 0 0 0
Annual IC Time Burden (Hours) 27 0 27 0 0 0
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.

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