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

View Information Collection (IC)

Outcome Screener in Person
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Script for Recruiting Intercept Participants No   Printable Only
Other-Screener Informed Consent Yes Yes Fillable Fileable
Other-Screener Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

6,059 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 6,059 0 0 0 0 6,059
Annual IC Time Burden (Hours) 504 0 0 0 0 504
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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