Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Pilot	Modified	3364	1131	0	Form and Instruction	1	DoD Baseline Questionnaire
					Form and Instruction	2	English Baseline Questionnaire
					Form and Instruction	3	English Screener Questionnaire
					Form and Instruction	4	Spanish Baseline and Screener Questionnaire
					Form and Instruction	5	Topical Survey
					Form and Instruction	6	Topicals Pilot
Total burden requested under this ICR:		3364	1131	0
To view an IC, click on IC Title