One-toOne Evaluation Study Questionnaire

Activities Associated with Developing a Web-based Resource for Youth about Clinical Research (NHLBI)

OMB: 0925-0729

IC ID: 217718

Information Collection (IC) Details

View Information Collection (IC)

One-toOne Evaluation Study Questionnaire
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10 Attachment H One-to One Evaluation Study Questionnaire Attachment H_One-to-One Evaluation Study Questionnaire.docx Yes Yes Fillable Fileable

Health Health Care Services

 

5 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 5 0 5 0 0 0
Annual IC Time Burden (Hours) 10 0 10 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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