OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Adult - Screener

IC 236639 under ICR 202009-0910-007 · OMB 0910-0880.

Documents and Forms
Document Name
Document Type
Other-Adult Invitation Email
Other-Online Screener
Information Collection (IC) Details

View Information Collection (IC)

Adult - Screener
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Adult Invitation Email Appendix N HPHC2 Online Survey Adult Invitation Email_CLEAN.docx Yes Yes Fillable Fileable Signable
Other-Online Screener Appendix J HPHC2 Online Survey Screener_CLEAN.docx Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

12,000 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 12,000 0 0 0 0 12,000
Annual IC Time Burden (Hours) 600 0 0 0 0 600
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.