Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Eligibility Screening for Pretest and Main Study Modified 1603 27 0 Form and Instruction None Eligibility Script for Pretest and Main Study
Main Study Baseline Modified 1227 348 0 Form and Instruction None Baseline Questionnaire
Form and Instruction None Supplementary Quality of Life Questions
Main Study Followup Modified 860 315 0 Form and Instruction None Main Study Follow-up Questionnaire
Form and Instruction None Supplementary Quality of Life Questions
Pretest Baseline Modified 65 16 0 Form and Instruction None Supplementary Quality of Life Questions
Form and Instruction None Pretest Baseline Questionnaire
Pretest Followup Modified 59 12 0 Form and Instruction None Pretest Followup Questionnaire
Form and Instruction None Supplementary Quality of Life Questions
Total burden requested under this ICR: 3814 718 0  
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