OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Informed Consent

IC 257458 under ICR 202212-2127-005 · OMB 2127-0764.

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

View Information Collection (IC)

Informed Consent
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1689 Focus Group Consent Form - Drivers PRA_InformedConsentDriver_CPSRideshare_2127-New_12.9.22.docx Yes Yes Fillable Fileable
Form and Instruction 1688 Focus Group Consent Form - Caregivers PRA_InformedConsentCaregiver_CPSRideshare_2127-New_092022 ncc 12.9.22.docx Yes Yes Fillable Fileable

Transportation Ground Transportation

 

36 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 36 0 36 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
Annual IC Cost Burden (Dollars) 96 0 96 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.