0022 PRA Public Burden Statement

Alzheimer’s Disease Programs Standardized Data Collection OMB Control Number 0985-0022
Paperwork Public Burden Statement-Affix to Excel Instrument
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless such collection displays a valid OMB control number (OMB 0985-0022). Public
reporting burden for this collection of information is estimated to average 6.64 hours per response,
including time for gathering and maintaining the data needed and completing and reviewing the
collection of information. The obligation to respond to this collection is required to retain or maintain
benefits under the statutory authority of the Public Health Service Act.