OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Screener and Main Study

IC 256440 under ICR 202305-0910-004 · OMB 0910-0908.

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Other-Questionnaire
Other-Questionnaire (tracked changes
Other-Questionnaire (tracked changes
Other-Questionnaire (clean)
Other-Questionnaire (clean)
Information Collection (IC) Details

View Information Collection (IC)

Screener and Main Study
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire Targeted MOA Study Questionnaire 10-14-22 final.docx Yes Yes Fillable Fileable
Other-Questionnaire (tracked changes) Final Questionnaire tracked changes May 2023.docx Yes Yes Fillable Fileable
Other-Questionnaire (clean) Final Questionnaire Final CLEAN May 2023.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

990 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 990 0 0 0 0 990
Annual IC Time Burden (Hours) 891 0 0 0 0 891
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.