SEARCH Supplemental Questionnaire

SEARCH for Diabetes in Youth Study

OMB: 0920-0904

IC ID: 197878

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

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SEARCH Supplemental Questionnaire
 
No Removed
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD 4b9_Supplemental.pdf Yes No Fillable Printable

Health Consumer Health and Safety

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

710 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 0 0 0 -710 0 710
Annual IC Time Burden (Hours) 0 0 0 -118 0 118
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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