View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Educational Game Focus Group
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Screeners Attachment_1_Screener_3_25_15.docx Yes Yes Printable Only
Form and Instruction 2 Clinical Professional Consent Form and Script Attachment_2_Clinical Trial Professional Consent Script 3_25_15.doc Yes Yes Fillable Fileable
Form and Instruction 3 Teacher Consent Form and Script Attachment_3_Teacher Consent Script 3_25_15.doc Yes Yes Fillable Fileable
Form and Instruction 4 Parent Consent Form and Scriot Attachment_4_Parent Consent Script 3_25_15.doc Yes Yes Fillable Fileable
Form and Instruction 5 Child Assent Form Attachment_5_Child Assent Script 3_25_15.doc Yes Yes Fillable Fileable

Health Illness Prevention

 

32 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 32 0 32 0 0 0
Annual IC Time Burden (Hours) 32 0 32 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Submission Form Revised Fast Track submission Form 04_16_15.doc 04/17/2015
Focus Group Invitation Letter Attachment 6 Invitation Letters for all Respondents 3_29_15.docx 04/17/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.