OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

MOSAIC Study Sign Up and Informed Consent

IC 269979 under ICR 202502-0703-004 · OMB 0703-0099.

Documents and Forms
Document Name
Document Type
Other-Web Form
Other-Web Form
Other-Informed Consent
Other-Informed Consent
Information Collection (IC) Details

View Information Collection (IC)

MOSAIC Study Sign Up and Informed Consent
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Web Form 0703-0099_MOSAIC Sign-up Form.pdf Yes Yes Fillable Fileable
Other-Informed Consent 0703-0099_MOSAIC Informed Consent.pdf Yes Yes Fillable Fileable

Defense and National Security Operational Defense

 

60 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 60 0 0 0 0 60
Annual IC Time Burden (Hours) 10 0 0 0 0 10
Annual IC Cost Burden (Dollars) 152 0 0 0 0 152

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.
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