Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Clinical Follow-up Certification New 90 90 0 Instruction
Clinical Follow-up Interview New 1500 1500 0 Instruction
Household Screening Modified 196720 16328 0 Form and Instruction Survey Survey
Form and Instruction Survey Survey
Interview New 69500 69500 0 Instruction
Interview Verification New 10425 698 0 Instruction
Screening Verification New 5560 373 0 Instruction
Total burden requested under this ICR: 283795 88489 0  
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