OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Adult Screener

IC 228327 under ICR 201708-0910-011 · OMB 0910-0848.

Documents and Forms
Document Name
Document Type
Other-Invitation E-mail
Other-Parent Invite Permision
Other-Study Screener
Information Collection (IC) Details

View Information Collection (IC)

Adult Screener
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Invitation E-mail Appendix A_GWL Adult Study Invitation E-mail Clean.docx Yes Yes Fillable Fileable
Other-Parent Invite Permision Appendix B_GWL Parent Invite Permission Clean.docx Yes Yes Fillable Fileable
Other-Study Screener Appendix E_GWL Study Screener_Clean.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

12,412 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 12,412 0 12,412 0 0 0
Annual IC Time Burden (Hours) 410 0 410 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.