Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Clinical Follow-up Certification Removed 0 0 0 Instruction
Clinical Follow-up Interview Removed 0 0 0 Instruction
Household Screening Modified 145474 12074 0 Form and Instruction Screening Questions Screening Questions
Interview Modified 67500 67500 0 Form and Instruction CAI Questionnaire CAI Questionnaire
Interview Verification Modified 10125 678 0 Instruction
Screening Verification Modified 5400 362 0 Instruction
Total burden requested under this ICR: 228499 80614 0  
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