OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pretest and Main Study

IC 256443 under ICR 202306-0910-001 · OMB 0910-0910.

Documents and Forms
Document Name
Document Type
Other-Screener
Other-Screener
Other-Questionnaire
Other-Questionnaire
Information Collection (IC) Details

View Information Collection (IC)

Pretest and Main Study
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Screener Text Analysis PDN clean_060123.docx Yes Yes Fillable Fileable
Other-Questionnaire Questionnaire Text Analysis PDN clean_060123.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,100 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 1,100 0 0 0 0 1,100
Annual IC Time Burden (Hours) 374 0 0 0 0 374
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.