End of Wave 1 Interview

I Can Do It, You Can Do It

OMB: 0990-0463

IC ID: 229857

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

View Information Collection (IC)

End of Wave 1 Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-INTERVIEW ICDI End of Wave 1 Interview Questions_Clean.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

10 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 10 0 10 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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