Information Collection

Informed Consent to Participate in the Study

IC 261009 under ICR 202307-2528-001 · OMB 2528-0341.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Final - Appendix F - Informed Consent and Agreement to Participate.docx	Other-Informed Consent to Participat
Final - Appendix F - Informed Consent and Agreement to Participate.docx	Other-Informed Consent to Participat

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Informed Consent to Participate in the Study			Final - Appendix F - Informed Consent and Agreement to Participate.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 147

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	147	147
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.