OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pretest 2 Screener

IC 242064 under ICR 202006-0910-002 · OMB 0910-0875.

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

View Information Collection (IC)

Pretest 2 Screener CDER
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener APPENDIX A screener.docx Yes No Printable Only
Other-Reruitment Materials APPENDIX C recruitment materials.docx Yes No Printable Only

Health Health Care Services

 

850 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 850 0 850 0 0 0
Annual IC Time Burden (Hours) 26 0 26 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.