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Federal forms, ICRs, and supporting documents

Information Collection

Individual Main Study

IC 223113 under ICR 201608-0925-002 · OMB 0925-0538.

Documents and Forms
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Document Type
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Form
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Individual Main Study
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Main Study - Cycle 1 Instrument Appendix D - Main Study- Cycle 1 Instrument.pdf No   Paper Only

Health Health Care Services

Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service  67 FR 60743

3,500 0
   
Individuals or Households
 
   0 %

  Requested 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 3,500 0 3,500 0 0 0
Annual IC Time Burden (Hours) 1,750 0 1,750 0 0 0
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.