OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Phase 2: Screener Completes (assumes 90% eligible)

IC 243690 under ICR 202201-0910-008 · OMB 0910-0895.

Documents and Forms
Document Name
Document Type
Other-Letter and Postcards - HCP
Other-Letter and Postcards - HCP
Other-Screener and HCP Survey
Other-Screener and HCP Survey
Information Collection (IC) Details

View Information Collection (IC)

Phase 2: Screener Completes (assumes 90% eligible) CDER
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Letter and Postcards - HCP Phase 2 Letters and Postcards - HCP.pdf Yes No Printable Only
Other-Screener and HCP Survey Phase 2 - Screener and Survey_HCP.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,180 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 1,180 0 0 0 0 1,180
Annual IC Time Burden (Hours) 98 0 0 0 0 98
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.