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Information Collection

Screener (Part of Survey Instruments)

IC 200952 under ICR 201212-0910-003 · OMB 0910-0714.

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Screener (Part of Survey Instruments)
 
No Modified
 
Mandatory
 
21 CFR 202.1(e)(5) and (ii)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Illness Prevention

 

16,000 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 16,000 0 0 0 0 16,000
Annual IC Time Burden (Hours) 533 0 0 0 0 533
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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