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

View Information Collection (IC)

HRSA Division of Transplanation (DoT Research on Customer Information Needs Related to Vascularized Composite Allographs Transplants
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 No   Paper Only
Form and Instruction 2 Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

724 0
   
Individuals or Households
 
   97 %

  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 724 0 724 0 0 0
Annual IC Time Burden (Hours) 174 0 174 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
VCA Supporting Statement 06/01/2015
Informed Consent 06/01/2015
Recruitment Script Screener 06/01/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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