Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5

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

OMB: 0920-1341

IC ID: 248257

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

View Information Collection (IC)

Multi-site Clinical Assessment of Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (MCAM)ATT.5 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 1_Visual Analogue Scale for CFS Symptoms 1_Visual Analogue Scale for CFS Symptoms.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-20QS 2_EQ-5D-Y Health Questionnaire 2_EQ-5D-Y Health Questionnaire.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-20QS 3_PROMIS SFv1 Physical Function 3_PROMIS SFv1 Physical Function.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-20QS 4_Physical Fitness and Exercise Activity Levels of Scale 4_Physical Fitness and Exercise Activity Levels of Scale.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-20QS 5_International Physical Activity Questionnaire_Self-Administered Long Form 5_International Physical Activity Questionnaire_Self-Administered Long Form.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-20QS 6_Physical Activity Readiness Questionnaire_PAR-Q 6_Physical Activity Readiness Questionnaire_PAR-Q.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

294 0
   
Individuals or Households
 
   0 %

  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 294 0 0 0 294 0
Annual IC Time Burden (Hours) 291 0 0 0 291 0
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.

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