Attachment G3:
Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire Instrument
	Form
	Approved 
	 OMB
	No. 0920-XXXX
	
	 Exp.
	Date xx/xx/20xx 
	Public
	reporting burden of this collection of information is estimated to
	average 6 minutes per response, including the time for reviewing
	instructions, searching existing data sources, gathering and
	maintaining the data needed, and completing and reviewing the
	collection of information. An agency may not conduct or sponsor, and
	a person is not required to respond to a collection of information
	unless it displays a currently valid OMB control number. Send
	comments regarding this burden estimate or any other aspect of this
	collection of
	information, including suggestions for reducing this burden to
	CDC/ATSDR Information Collection Review Office, 1600 Clifton Road
	NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX). 
 
	 
 
 
 
 
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Lowe, Brian D. | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-29 |