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Information Collection

Cognitive Interview Screener

IC 204172 under ICR 201209-0910-002 · OMB 0910-0725.

Documents and Forms
Document Name
Document Type
Other-Survey Screening Insturment
Information Collection (IC) Details

View Information Collection (IC)

Cognitive Interview Screener
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Screening Insturment Experimental Study_Selenium Claims and Disclaimers Cognitive Interview Screener 121218.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

350 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 350 0 350 0 0 0
Annual IC Time Burden (Hours) 29 0 29 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.