Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form 2059 Part I: Advertisement New 56 1 0 Form 2059
Form 2060 Part I: Eligibility Questionnaire New 56 5 0 Form 2060
Form 2061 Part I: Scheduling Availability Form New 34 1 0 Form 2061
Form 2062 Part I: Scheduling Process New 20 2 0 Form 2062
Form 2063 Part I: Informed Consent Document New 19 2 0 Form 2063
Form 2064 Part I: Data Collection Activities New 19 36 0 Form 2064
Form 2065 Part II Email Templates New 48 7 0 Form 2065
Form 2066 Part II: Advertisement New 96 2 0 Form 2066
Form 2067 Part II: Eligibility Questionnaire New 96 16 0 Form 2067
Form 2068 Part II: Initial Setup & Intake Process New 48 40 0 Form 2068
Form 2069 Part II: Task Assessment Process New 24 64 0 Form 2069
Form 2070 Part II: Debriefing and Honorarium Confirmation New 24 2 0 Form 2070
Total burden requested under this ICR: 540 178 0  
To view an IC, click on IC Title