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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 Screener Att 1a_ScreenerQuestionnaire Tips 2016 v16 FINAL.docx Yes Yes Fillable Fileable
Form none Survey Screenshots Att 4 Screenshots English v16 FINAL.pdf 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 GenIC 15_Part A_5 12 2015.docx 05/13/2015
SS Part B GenIC 15_Part B_5 12 2015.docx 05/13/2015
Chinese Screener Att 1c Chinese ScreenerQuestionnaire Tips 2016 v16 FINAL.docx 05/13/2015
Chinese Survey Screenshots Att 5 Screenshots_Chinese v16 FINAL.pdf 05/13/2015
Email Recruitment Att 2_Email Recruitment Rough Cut Tests v16 FINAL.docx 05/13/2015
Terms and Conditions Att 3_Terms and Conditions v16 FINAL.docx 05/13/2015
Word version Survey Att 1b_MainQuestionnaire Tips 2016 v16 FINAL.docx 05/13/2015
Chinese Word Version Survey Att 1d_Chinese MainQuestionnaire 2016 v16 FINAL.docx 05/13/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.