Qualified Participants (Informed Consent) Phase 3

Factors Influencing the Transmission of Influenza

OMB: 0920-0888

IC ID: 196084

Documents and Forms
Information Collection (IC) Details

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Qualified Participants (Informed Consent) Phase 3
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 10-informed consent form Phase 3_Influenza(10GX) May 2011.docx Yes Yes Fillable Printable

Health Illness Prevention

 

40 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 0 0 -40 0 0 40
Annual IC Time Burden (Hours) 0 0 -7 0 0 7
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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