PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Adult Core (sample adult)
Unchanged
36000
9000
0
Other-Questionaire
Child / Teen Record Check (medical provider)
Unchanged
8000
667
0
Form
none
Child/Teen
Child Core (adult family member)
Unchanged
14000
2333
0
Other-Questionaire
Family Core (adult family member)
Unchanged
45000
17250
0
Other-Questionaire
NHCIS Multi-mode Study (adult family member)
Unchanged
12000
2000
0
Form
none
NHCIS
Native Hawaiian / Pacific Islander Survey (adult family member)
Unchanged
4000
4000
0
Form
none
Native Hawaiian Pacific Islander
Reinterview Survey
Unchanged
5000
417
0
Form
none
Reinterview
Screener Questionnaire
Unchanged
10000
833
0
Form
none
Screener
Supplements (adult family member)
Unchanged
45000
9000
0
Form
none
Supplements
Total burden requested under this ICR:
179000
45500
0
To view an IC, click on IC Title
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