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CogState Time 2 Section
Multi-site Clinical Assessment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (MCAM)
OMB:
IC ID: 246653
OMB.report
CDC
ICR 202102-0920-001
IC 246653
( )
Documents and Forms
Document Name
Document Type
Form 0920-20QS
CogState Time 2 Section
Form
0920-20QS CogState Time 2 Section
0_Description_CogState&Exercise_Testing.docx
www.cogstate.com/clinical-trials/computerized-cognitive-assessment/
Form
0920-20QS CogState Time 2 Section
0_Description_CogState&Exercise_Testing.docx
www.cogstate.com/clinical-trials/computerized-cognitive-assessment/
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CogState Time 2 Section
Agency IC Tracking Number:
0920-20QS
Is this a Common Form?
Yes
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0920-20QS
CogState Time 2 Section
0_Description_CogState&Exercise_Testing.docx
https://www.cogstate.com/clinical-trials/computerized-cognitive-assessment/
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
109
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
109
0
0
109
0
0
Annual IC Time Burden (Hours)
22
0
-18
40
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.