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

View Information Collection (IC)

AIAN Enrollment Questions
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DY-1W-TE1 Yes Yes Paper Only
Form DY-1W TE2 Yes Yes Paper Only
Form DY-1W TE3 Yes Yes Paper Only
Form and Instruction AN Screener Yes Yes Paper Only
Form AI Screener Yes Yes Paper Only
Form and Instruction Protocol 1 Yes Yes Paper Only
Form and Instruction Protocol 2 Yes Yes Paper Only
Form and Instruction Protocol 3 Yes Yes Paper Only

General Government Central Records & Statistical Mgt

 

63 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 63 0 63 0 0 0
Annual IC Time Burden (Hours) 90 0 90 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo 05/17/2016
Recruitment Info 05/17/2016
Consent Form 05/17/2016
AIAN TEQ Cog Research REV 07/07/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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