OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Main Study

IC 219546 under ICR 201601-0910-003 · OMB 0910-0818.

Documents and Forms
Document Name
Document Type
Other-Appendix A - Screener and Info
Other-Appendix B - Hearing Test and
Information Collection (IC) Details

View Information Collection (IC)

Main Study CDER
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix A - Screener and Informed Consent Appendix A_Screener and Informed Conset_PretestMain 092515.docx Yes Yes Fillable Fileable
Other-Appendix B - Hearing Test and Questionnaire Appendix B_Hearing Test and Questionnaire_PretestMain 092515.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,056 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 1,056 0 1,056 0 0 0
Annual IC Time Burden (Hours) 792 0 792 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.