Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
#1 - BIF - Baseline and modification Unchanged 8 2 0 Other-#1 - BIF
Other-BIF
#2 - SAQ Unchanged 8 3 0 Other-#2 - SAQ
Other-#2 - SAQ
36-Month Follow-up Survey Modified 2462 2462 0 Other-Survey
New Instrument #10 Study Participant Interview Guide Unchanged 48 48 0 Other-Guide
New Instrument #11 Study Participant Check-in Call Unchanged 48 8 0 Other-Call
New Instrument #2 15 Month Follow-up Survey: ALL versions Modified 967 806 0 Other-Survey
Other-Survey
Other-Survey
Total burden requested under this ICR: 3541 3329 0  
To view an IC, click on IC Title