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Federal forms, ICRs, and supporting documents

Information Collection

MUH Saliva Collection - children

IC 204449 under ICR 201309-0920-011 · OMB 0920-1004.

Documents and Forms
Document Name
Document Type
Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

MUH Saliva Collection - children
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Att 10A(e) Protocol for Saliva Collection 8 29 2012.docx No No Printable Only

Health Immunization Management

 

500 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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 83 0 83 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Saliva Collection Assent Children Spanish clean 12 13 13 Att 10-A1(s)_MUH Child Assent for Saliva 5_16_13.docx 12/19/2013
Saliva Collection Assent Children clean 12.17.13 Att 10-A1(e)_MUH Child Assent for Saliva 5_16_13.docx 12/19/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.