OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Copy Testing Surveys

IC 245352 under ICR 202102-0990-002 · OMB 0990-0476.

Documents and Forms
Document Name
Document Type
Other-CTS-Part A, Attachment H
Other-CTS-Part A, Attachment I
Other-CTS-Part A, Attachment J
Other-CTS-Part B, Attachment C
Other-Change questionnaire
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Copy Testing Surveys
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-CTS-Part A, Attachment H Part A - Attachment H_COVID-19 Copy Testing Survey_Consent Form.docx Yes Yes Fillable Fileable
Other-CTS-Part A, Attachment I Part A - Attachment I_COVID-19 Copy Testing Survey_Communications.docx Yes Yes Fillable Fileable
Other-CTS-Part A, Attachment J Part A - Attachment J_COVID-19 Copy Testing Survey External IRB Determination.pdf Yes Yes Fillable Fileable
Other-CTS-Part B, Attachment C Part B - Attachment C_COVID-19 Copy Testing Survey_Questionnaire.docx Yes Yes Fillable Fileable
Other-Change questionnaire 0990-0476 HHS COVID-19 Brand Testing Questionnaire FINAL.docx Yes Yes Fillable Fileable

Health Health Care Services

 

53,600 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 53,600 0 0 0 0 53,600
Annual IC Time Burden (Hours) 4,248 0 0 0 0 4,248
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Covid-19 Testing Collage 0990-0476 HHS COVID-19 Testing Collages_FINAL_020821.pdf 02/08/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.