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Appx L Consent (Field component) _Miners

IC 243407 under ICR 202310-0920-010 · OMB 0920-1331.

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Form and Instruction
Form and Instruction
Form and Instruction
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Appx L Consent (Field component) _Miners 0920-1331
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1331 Consent to be in a Research Study Health-related changes in cognitive performance Field component. Appendix L Consent form field study.docx Yes Yes Fillable Fileable Signable

Workforce Management Worker Safety

 

30 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 30 0 0 0 0 30
Annual IC Time Burden (Hours) 15 0 0 0 0 15
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appx K_ Field Recruitment Script Appendix K Recruitment Script - Field.docx 10/30/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.