Information Collection

Informed Consent Form And Baseline Information Form For Study Participants

IC 273228 under ICR 202502-1290-005 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 1 - Consent Form and BIF for Study Participants 2 3 25_clean.docx	Other-INFORMED CONSENT FORM AND BASE
Attachment 1 - Consent Form and BIF for Study Participants 2 3 25_clean.docx	Other-INFORMED CONSENT FORM AND BASE

IC Title:

INFORMED CONSENT FORM AND BASELINE INFORMATION FORM FOR STUDY PARTICIPANTS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 FORM AND BASELINE INFORMATION FORM FOR STUDY PARTICIPANTS					Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	400	400
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.

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