OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Study Participants (opt in)

IC 228809 under ICR 201902-0910-011 · OMB 0910-0851.

Documents and Forms
Document Name
Document Type
Other-App-based Data Collection Cons
Information Collection (IC) Details

View Information Collection (IC)

Study Participants (opt in)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-App-based Data Collection Consent Script Attachment_03b_POSITEv_consent_for_app-based_data_collection_W2. Cleandocx.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

769 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 2,307 0 0 0 0 2,307
Annual IC Time Burden (Hours) 185 0 0 0 0 185
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.