SEARCH Medication Inventory (Incident Case)

SEARCH for Diabetes in Youth Study

Documents and Forms

Document Name Document Type
SEARCH Medication Inventory (Incident Case) Form
Medications Inventory Attachment 4A1_Medications inventory_r102017.pdf Form

Information Collection (IC) Details

IC Title:	SEARCH Medication Inventory (Incident Case)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	Medications Inventory	Attachment 4A1_Medications inventory_r102017.pdf		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 51 FR 62812

Number of Respondents: 1,511	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,511	236	1,275
Annual IC Time Burden (Hours)	126	20	106
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.