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View Information Collection (IC)

Antibiotic Use Campaign: Round 2 (R2) Concept/Materials Testing with Health Care Professionals 0920-17ATJ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a No   Paper Only
Form and Instruction n/a No   Paper Only
Form and Instruction n/a No   Paper Only

Health Illness Prevention

 

120 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 120 0 120 0 0 0
Annual IC Time Burden (Hours) 34 0 34 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Test Item 1. Conversation Starters 06/21/2017
Test Item 2. Print Ad_Safe Play 06/21/2017
Test Item 3. Print Ad_Status Update 06/21/2017
Test Item 4. Print Ad_The Right Tool 06/21/2017
Test Item 5. Campaign Stimulus_TV Ads 06/21/2017
Test Item 6. Visual with slogan_A 06/21/2017
Test Item 7. Visual with slogan_B 06/21/2017
Test Item 8. Visual with slogan_C 06/21/2017
Test Item 9. Visual with slogan_D 06/21/2017
Test Item 10. Visual with slogan_E 06/21/2017
Project Description 06/22/2017
HMTS Expedited Review Form (AU R2/HCP) 06/22/2017
Verbal Consent 06/22/2017
Observer Confidentiality Agreement 06/22/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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