Cognitive Testing for Consumer Survey

Comprehensive Communication Campaign for HITECH ACT

OMB: 0955-0005

IC ID: 207352

Information Collection (IC) Details

View Information Collection (IC)

Cognitive Testing for Consumer Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0955-0005_ONCCognitiveTesting RecruitmentSp.doc No No Paper Only
Other-survey 0955-0005 ONCCognitive TestingRecruitment.docx No No Paper Only
Other-survey 0955-0005_ONCCognitiveTesting Interview ProtocolSp.docx No No Paper Only
Other-survey 0955-0005_ONCCognitiveTesting Interview Protocol.docx No No Paper Only

Health Illness Prevention

 

25 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 25 0 0 0 0 0
Annual IC Time Burden (Hours) 38 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0955-0005_ONCCognitiveTestingFastTrackRequest6 10 0955-0005_ONCCognitiveTestingFastTrackRequest6 10.docx 06/12/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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