Visual Analogue Scale for CFS Symptoms

Multi-site Clinical Assessment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (MCAM)

Documents and Forms

Document Name Document Type
Form 0920-20QS Visual Analogue Scale for CFS Symptoms Form and Instruction
0920-20QS 1_Visual Analogue Scale for CFS Symptoms 1_Visual Analogue Scale for CFS Symptoms.pdf Form and Instruction
0920-20QS 1_Visual Analogue Scale for CFS Symptoms 1_Visual Analogue Scale for CFS Symptoms.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Visual Analogue Scale for CFS Symptoms	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 and Instruction	0920-20QS	1_Visual Analogue Scale for CFS Symptoms	1_Visual Analogue Scale for CFS Symptoms.pdf		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 49	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	49	-11	60
Annual IC Time Burden (Hours)	6	-2	8
Annual IC Cost Burden (Dollars)	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.