Information Collection

Phone Interview Questions for Early Indepenedence Prncipal Investigators

IC 204295 under ICR 201209-0925-003 · OMB 0925-0665.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0665 can be found here:

Documents and Forms

Document Name Document Type
Form Attachment A5 Phone Interview Questions for Early Indepenedence Prncipal Investigators Form and Instruction
Attachment A5 Phone Interview Questions for EI-PI Attachment A.5 - Phone Interview EIA Principal Investigators (Versions A & B).doc Form and Instruction
Attachment B.4.1 - Protocol Phone Interview EIA Principal Investigator.doc Protocols for Phone Interviews IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Phone Interview Questions for Early Indepenedence Prncipal Investigators	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment A5	Phone Interview Questions for EI-PI	Attachment A.5 - Phone Interview EIA Principal Investigators (Versions A & B).doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Protocols for Phone Interviews	Attachment B.4.1 - Protocol Phone Interview EIA Principal Investigator.doc	09/26/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.