OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Self-affirmation and affect

IC 214721 under ICR 201410-0925-004 · OMB 0925-0645.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Self-affirmation and affect
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Survey Screenshots Attachment A Survey ScreenShots.doc Yes Yes Fillable Fileable

Health Health Care Services

 

640 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 640 0 640 0 0 0
Annual IC Time Burden (Hours) 320 0 320 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Clearance Form Self-affirmation and affect 0925-0645 Generic Clearance Form 12 9 2014.docx 01/22/2015
Sub-Study Memo Self-affirmation and affect 0925-0645 Justification Memo 12 9 2014.docx 01/22/2015
Survey- Word Version Attachment B Questionaire Word Format.docx 01/22/2015
Readings Attachment C Readings.doc 01/22/2015
IRB Approval Letter Attachment D IRB Approval.pdf 01/22/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.