Adults- Sleep and Intake Questionnaire

Quantification of Behavioral and Physiological Effects of Drugs Using a Mobile Scalable Device

OMB: 0925-0692

IC ID: 209129

Information Collection (IC) Details

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Adults- Sleep and Intake Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 7 Adu;ts Sleep and Intake Questionnaire Attachment 3 Sleep and Food Intake Survey.doc Yes Yes Fillable Fileable

Health Illness Prevention

SORN  67 FR 60741

72 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 144 0 144 0 0 0
Annual IC Time Burden (Hours) 7 0 7 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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