OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

OS Participants

IC 7310 under ICR 201606-0925-004 · OMB 0925-0414.

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

View Information Collection (IC)

OS Participants
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 33 Medical History Update F33-OMB-2013.pdf No No Paper Only
Form and Instruction 20 Personal Information Update Form 20.pdf No No Paper Only
Form and Instruction 151 Activities of Daily Life WHI Form 151 Activities of Daily Life.pdf No No Paper Only
Form and Instruction 156 Supplemental Questionaire F156 Supplemental-OMB-01-22-13.pdf No No Paper Only

Health Health Care Services

 

41,495 0
   
Individuals or Households
 
   0 %

  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 0 0 -41,495 0 0 41,495
Annual IC Time Burden (Hours) 0 0 -13,832 0 0 13,832
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
F156S Supplemental OMB-1-22-13 F156S Supplemental OMB-1-22-13.pdf 05/29/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.