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
Eligibility Screening Form _ English
New
5400
450
0
Form
0920-24FS
Eligibility Screener English
Model Project Consent Form English
New
4050
338
0
Form
0920-24FS
Model English Consent
Model Project Permission Form Spanish
New
450
38
0
Form
0920-24FS
Model Project Permission Form Spanish
NEXUS Survey English
New
4050
2025
0
Form
0920-24FS
NEXUS Survey English
NEXUS Survey Spanish
New
450
225
0
Form
0920-24FS
NEXUS Survey Spanish
Screening Form Spanish
New
600
50
0
Form
0920-24FS
Eligibility Screener Spanish
Total burden requested under this ICR:
15000
3126
0
To view an IC, click on IC Title
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