OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Key Stakeholder Recruitment and Consent

IC 212623 under ICR 201605-0920-006 · OMB 0920-1038.

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

View Information Collection (IC)

Key Stakeholder Recruitment and Consent
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Att 4_Key Stakeholder Script.docx Yes Yes Fillable Fileable
Form none Key Stateholder Informed Consent Att 5_Key Stakeholder Informed Consent.docx Yes Yes Fillable Fileable

Health Health Care Services

 

60 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 60 0 0 0 0 60
Annual IC Time Burden (Hours) 5 0 0 0 0 5
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.