Pretest Screener

Risk and Benefit Perception Scale Development

OMB: 0910-0784

IC ID: 214029

Documents and Forms
Document Name
Document Type
Other-Screener document
Other-Email Invitation
Other-Consent Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Pretest Screener
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener document SCREENER DOCUMENT 2-26-2015.docx Yes Yes Printable Only
Other-Email Invitation EMAIL INVITATION 10-28-14.doc Yes Yes Printable Only
Other-Consent Form INFORMED CONSENT FORM 10-28-14.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

2,000 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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 60 0 0 0 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Scale Development SCALE DEVELOPMENT 30 DAY FRN 10-28-14.doc 11/25/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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