Information Collection

Multimorbidity and Medications: The Unheard Perspective of Older Adults

IC 258885 under ICR 202311-0910-005 · OMB 0910-0847.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
0847 MUMs Invite Letter - Email (English).docx Other-Invitation email (English)
0847 MUMs Invite Letter - Email (English).docx Other-Invitation email (English)
0847 MUMs Invite Letter - Email (Spanish).docx Other-Invitation email (Spanish)
0847 MUMs Invite Letter - Email (Spanish).docx Other-Invitation email (Spanish)
0847 MUMs Invite Letter - Postal (English).docx Other-Invitation letter postal (Engl
0847 MUMs Invite Letter - Postal (English).docx Other-Invitation letter postal (Engl
0847 MUMs Invite Letter - Postal (Spanish).docx Other-Invitation letter postal (Span
0847 MUMs Invite Letter - Postal (Spanish).docx Other-Invitation letter postal (Span
0847 MUMs Information sheet (English).docx Other-Information sheet (English)
0847 MUMs Information sheet (English).docx Other-Information sheet (English)
0847 MUMs Information sheet (Spanish).docx Other-Information sheet (Spanish)
0847 MUMs Information sheet (Spanish).docx Other-Information sheet (Spanish)
0847 MUMs Survey (English).docx Other-Survey (English)
0847 MUMs Survey (English).docx Other-Survey (English)
0847 MUMs Survey (Spanish).docx Other-Survey (Spanish)
0847 MUMs Survey (Spanish).docx Other-Survey (Spanish)
0847 OMB Memo MUMs 2023 final.docx
OMB Memo / Abbreviated Supporting Statement
IC Document
0847 OMB Memo MUMs 2023 final.docx
OMB Memo / Abbreviated Supporting Statement
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Invitation email (English) 0847 MUMs Invite Letter - Email (English).docx Yes Yes Fillable Fileable
Other-Invitation email (Spanish) 0847 MUMs Invite Letter - Email (Spanish).docx Yes Yes Fillable Fileable
Other-Invitation letter postal (English) 0847 MUMs Invite Letter - Postal (English).docx Yes Yes Fillable Fileable
Other-Invitation letter postal (Spanish) 0847 MUMs Invite Letter - Postal (Spanish).docx Yes Yes Fillable Fileable
Other-Information sheet (English) 0847 MUMs Information sheet (English).docx Yes No Printable Only
Other-Information sheet (Spanish) 0847 MUMs Information sheet (Spanish).docx Yes No Printable Only
Other-Survey (English) 0847 MUMs Survey (English).docx Yes Yes Fillable Fileable
Other-Survey (Spanish) 0847 MUMs Survey (Spanish).docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 1,322,500 0 0 0 0 1,322,500
Annual IC Time Burden (Hours) 429 0 0 0 0 429
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Memo / Abbreviated Supporting Statement 0847 OMB Memo MUMs 2023 final.docx 03/08/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.