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Rough Cut Testing for the 2016 Tips Campaign 15AIT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable

Health Illness Prevention

 

13,650 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 13,650 0 13,650 0 0 0
Annual IC Time Burden (Hours) 4,110 0 4,110 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SS Part A 05/13/2015
SS Part B 05/13/2015
Chinese Screener 05/13/2015
Chinese Survey Screenshots 05/13/2015
Email Recruitment 05/13/2015
Terms and Conditions 05/13/2015
Word version Survey 05/13/2015
Chinese Word Version Survey 05/13/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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