Participant Eligibility Disposition

Cooperative Re-Engagement Controlled Trial (CoRECT)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1133 can be found here:

Documents and Forms

Document Name Document Type
Participant Eligibility Disposition Form
Participant Eligibility Disposition Att 11a&b_ParticiEligibilityDispo form.docx Form

Information Collection (IC) Details

IC Title:	Participant Eligibility Disposition	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Participant Eligibility Disposition	Att 11a&b_ParticiEligibilityDispo form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.