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Federal forms, ICRs, and supporting documents

Information Collection

Number to Complete the Screener (10%) Reconduct Survey 2

IC 231420 under ICR 201804-0910-011 · OMB 0910-0821.

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

View Information Collection (IC)

Number to Complete the Screener (10%) Reconduct Survey 2
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Appendix D - SCREENER.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,513 0
   
Individuals or Households
 
   0 %

  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 1,513 0 0 1,513 0 0
Annual IC Time Burden (Hours) 76 0 0 76 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment email Appendix E - RECRUITMENT EMAILS.doc 05/10/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.