Screening Interview with Ineligible Persons

National Diabetes Education Program Evaluation Survey of the Public

OMB: 0925-0552

IC ID: 7476

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Screening Interview with Ineligible Persons
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Survey Screener Att A NDEP Natl Diab Survey Screener for OMB 22Aug2012 FINAL.doc Yes Yes Paper Only

Health Health Care Services

 

3,759 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 3,759 0 3,759 0 0 0
Annual IC Time Burden (Hours) 125 0 125 0 0 0
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.

© 2024 OMB.report | Privacy Policy