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Federal forms, ICRs, and supporting documents

Information Collection

Student Component - ORCHARDS Telephone Screen

IC 212402 under ICR 202108-0920-002 · OMB 0920-1039.

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

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Student Component - ORCHARDS Telephone Screen
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1039 ORCHARDS Screening Form Att. C2 - Screening Form.docx NA No   Paper Only

Health Public Health Monitoring

09-20-0160 Records of Subjects in Health Promotion and Education Studies, HHS/CDC.CHPE  51 FR 42484

345 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 345 0 0 0 345 0
Annual IC Time Burden (Hours) 29 0 0 0 29 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att D - FRN comment Att D FRN comment.docx 07/24/2014
Att C3 Univ of Wisconsin - Consent Att C3- Univ of Wisconsin - consent_assent forms.docx 07/24/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.