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Chronic Fatigue Syndrome: Symptoms from the Patient Perspective

IC 217291 under ICR 201407-0920-001 · OMB 0920-1026.

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Chronic Fatigue Syndrome: Symptoms from the Patient Perspective 15ANN
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment 1 CFS Patient Perspective Focus Group Guide 6112015.docx No   Paper Only
Other-WORD Attachment 2 CFS Patient Perspective Interview Guide 6112015.docx No   Paper Only
Other-WORD Attachment 5 CFS Patient Perspective Focus Group Screener 6_10_15 corrected.doc No   Paper Only

Health Health Care Services

 

102 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 102 0 102 0 0 0
Annual IC Time Burden (Hours) 99 0 99 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 3 Focus Group Recruitment Flyer Attachment 3 CFS Patient Perspective Recruitment Focus Group Flyer 062615.pdf 06/30/2015
Att 4 Interview Recruitment Flyer Attachment 4 CFS Patient Perspective Recruitment Interview Flyer 062615.pdf 06/30/2015
Att 6 Sampling Plan Attachment 6 CFS Patient Perspective Sampling Plan 6_10_15.docx 06/30/2015
Request for Approval for 0920-15ANN Service Delivery_GenIC_Chronic Fatigue Syndrome Patient Perspective_Final 6112015.docx 06/30/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.