Participant disability screening

The Hispanic Community Health Study/ Study of Latinos (HCHS/SOL)(NHLBI)

OMB: 0925-0584

IC ID: 211959

Information Collection (IC) Details

View Information Collection (IC)

Participant disability screening
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 PDE-Participant Disability Screen Eng PDE-Participant Disability Screen_Eng mod Jun 2014.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

13,878 0
   
Individuals or Households
 
   100 %

  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 13,878 0 13,878 0 0 0
Annual IC Time Burden (Hours) 694 0 694 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PDS-Participant Disabilit Screen_ Span PDS-Participant Disability Screen_Span mod June 2014.pdf 06/23/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy