Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MD STARnet Men Living with Muscular Dystrophy Survey New 538 135 0 Form and Instruction None Men Living with Muscular Dystrophy Survey (paper)
Form and Instruction None Men Living with Muscular Dystrophy Survey (screen shot of intro to the web-based form)
Form and Instruction None Men Living with Muscular Dystrophy Survey (telephone interview)
MD STARnet Women Living with Muscular Dystrophy Survey New 472 157 0 Form and Instruction None Women Living with Muscular Dystrophy Survey (paper)
Form and Instruction None Women Living with Muscular Dystrophy Survey (screen shot of intro to the web-based form)
Form and Instruction None Women Living with Muscular Dystrophy Survey (telephone interview)
Total burden requested under this ICR: 1010 292 0  
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