OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pretest Screener - Phase 2

IC 242686 under ICR 202106-0910-002 · OMB 0910-0892.

Documents and Forms
Document Name
Document Type
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Information Collection (IC) Details

View Information Collection (IC)

Pretest Screener - Phase 2 CDER
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

279 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 279 0 0 0 0 279
Annual IC Time Burden (Hours) 47 0 0 0 0 47
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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