Non-research labor cost questionnaire - Att 12

Positive Health Check Evaluation Trial

Att 12 Non-research labor cost questionnaire06.14.17

Non-Research Labor Cost Questionnaire

OMB: 0920-1211

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Attachment 12

Form Approved

OMB No. 0920-New

Expiration Date: XX/XX/XXXX



Positive Health Check Evaluation

Aim 3: Cost Analysis

Instrument: Non-research labor cost questionnaire





Public reporting burden of this collection of information is estimated to average 90 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-New)































File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorFerriola-Bruckenstein, Kate
File Modified0000-00-00
File Created2021-01-22

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