International Physical Activity Questionnaire (Self-Administered Long Form)

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

OMB:

IC ID: 246668

Information Collection (IC) Details

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International Physical Activity Questionnaire (Self-Administered Long Form) 0920-20QS
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-20QS International Physical Activity Questionnaire (Self-Administered Long Form) 5_International Physical Activity Questionnaire_Self-Administered Long Form.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

60 0
   
Individuals or Households
 
   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 60 0 11 49 0 0
Annual IC Time Burden (Hours) 5 0 1 4 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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