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Site Coordinator (sampling)
Pre-Test of Instruments of Psychosocial Care for the Treatment of Adults with PTSD
OMB: 0990-0418
IC ID: 210716
OMB.report
HHS/HHSDM
OMB 0990-0418
ICR 201403-0990-002
IC 210716
( )
Documents and Forms
Document Name
Document Type
20987 ID_Site Coordinator Sample Section Abstraction-ATTACHMENT 5.docx
Other-sampling
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Site Coordinator (sampling)
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
Other-sampling
20987 ID_Site Coordinator Sample Section Abstraction-ATTACHMENT 5.docx
No
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
6
0
6
0
0
0
Annual IC Time Burden (Hours)
12
0
12
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.