Individual Interview Child Assent Form

Web-based Resource for Youth about Clinical Research (NHLBI)

OMB: 0925-0729

IC ID: 217712

Information Collection (IC) Details

View Information Collection (IC)

Individual Interview Child Assent Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 4 Attachment F Individual Interview Child Assent Form Attachment F_Individual Interview Child Assent Form.doc Yes Yes Fillable Fileable

Health Health Care Services

 

9 0
   
Individuals or Households
 
   100 %

  Requested 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 9 0 9 0 0 0
Annual IC Time Burden (Hours) 1 0 1 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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