Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
#1 - BIF - Baseline and modification Removed 0 0 0 Other-#1 - BIF
Other-BIF
#2 - SAQ Removed 0 0 0 Other-#2 - SAQ
Other-#2 - SAQ
36-Month Follow-up Survey (Previously approved; no content changes) Modified 1025 1025 0 Other-Survey
72-Month Follow-up Survey New 1467 1100 0 Other-Survey
New Instrument #10 Study Participant Interview Guide Removed 0 0 0 Other-Guide
New Instrument #11 Study Participant Check-in Call Removed 0 0 0 Other-Call
New Instrument #2 15 Month Follow-up Survey: ALL versions Removed 0 0 0 Other-Survey
Other-Survey
Other-Survey
Total burden requested under this ICR: 2492 2125 0  
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