Neighborhood Interview Recruitment and Consent

Community Context Matters Study

OMB: 0920-1038

IC ID: 212621

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Neighborhood Interview Recruitment and Consent
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Att 3_Nhood Int Script.Informed Consent.docx Yes Yes Fillable Fileable

Health Health Care Services

 

300 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 300 0 60 0 0 240
Annual IC Time Burden (Hours) 25 0 5 0 0 20
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.

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