Information Collection

Webpage Study Details and DAIDS staff Informed Consent Screenshots

IC 213286 under ICR 201601-0925-001 · OMB 0925-0712.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 Webpage Study Details and DAIDS staff Informed Consent Screenshots	Form and Instruction
3 Webpage Study Details and DAIDS staff Informed Consent S Attachment 5b Webpage Study Details and Informed Consent DAIDS staff Screenshots.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	Webpage Study Details and DAIDS staff Informed Consent Screenshots	Attachment 5b Webpage Study Details and Informed Consent DAIDS staff Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.