OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Main Study

IC 225317 under ICR 201701-0910-015 · OMB 0910-0831.

Documents and Forms
Document Name
Document Type
Other-Consent Form
Other-Screener and Questionnaires
Other-Recruitment E-mails
Information Collection (IC) Details

View Information Collection (IC)

Main Study
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consent Form Appendix A Super Consent Form 091416.docx Yes Yes Fillable Fileable
Other-Screener and Questionnaires Appendix B Super Screener and Questionnaires 091416.docx Yes Yes Fillable Fileable
Other-Recruitment E-mails Appendix C Super Recruitment Emails 071416.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

3,057 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 3,057 0 3,057 0 0 0
Annual IC Time Burden (Hours) 677 0 677 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.