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
Peds QL Diabetes Module
Removed
0
0
0
Other-WORD
SEARCH - Initial Participant Survey - Incident
Modified
1511
252
0
Form
n/a
Initial Participant Survey - Incident Case Child Version (screen shots)
Form
n/a
Initial Participant Survey - Incident Case Child Version (Paper)
Form
n/a
Initial Participant Survey - Incident Case Young Adult Version (screen shots)
Form
n/a
Initial Participant Survey - Incident Case Young Adult version (paper)
SEARCH CES-Depression
Removed
0
0
0
Other-PDF
SEARCH Diabetes Eating Problem Survey (DEPS-R)
Removed
0
0
0
Other-PDF
SEARCH Diabetes Related Family Conflict Survey
Removed
0
0
0
Other-WORD
SEARCH Food Frequency Questionnaire
Removed
0
0
0
Other-PDF
SEARCH Health Questionnaire (Parent_Feb 2014) Cohort Study
Removed
0
0
0
Other-PDF
SEARCH Health Questionnaire (Youth )
Removed
0
0
0
Other-WORD
SEARCH Initial Participant Survey - Prevalence
New
776
129
0
Form
n/a
Initial Participant Survey - Adult Prevalent Case
Form
n/a
Initial Participant Survey - Child Prevalent Case
SEARCH Low Blood Surgar Survey
Removed
0
0
0
Other-WORD
SEARCH Medication Inventory (Incident Case)
Modified
1511
126
0
Form
n/a
Medications Inventory
SEARCH Michigan Neuropathy Screening Instrument (MNSI)
Removed
0
0
0
Other-PDF
SEARCH Pathology Notificaiton (Retinal Photo)
Removed
0
0
0
Other-WORD
SEARCH PedsQL
Removed
0
0
0
Other-PDF
SEARCH Physical Examination
Modified
823
1235
0
Form
n/a
Physical Examination Form
SEARCH Quality of Care Survey (Feb 2014)
Removed
0
0
0
Other-PDF
SEARCH Specimen Collection Form
Modified
823
274
0
Form
n/a
Specimen Collection Form
SEARCH Supplemental Questionnaire
Removed
0
0
0
Other-WORD
SEARCH Tanner Stage
Removed
0
0
0
Other-WORD
Total burden requested under this ICR:
5444
2016
0
To view an IC, click on IC Title
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