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

View Information Collection (IC)

Air Quality Information Initiative 0920-0572-18LD
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Recruitment screener Attachment A_Recruitment Screener_20180227.docx Yes Yes Fillable Fileable
Other-Focus Group Guide Attachment C_Moderator Guide_20180227.docx Yes No Paper Only

Health Illness Prevention

 

108 0
   
State, Local, and Tribal Governments
 
   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 108 0 108 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
Consent Attachment B_Informed Consent Form_20180227.docx 02/28/2018
Contact information Attachment D_Participant Contact Information_20180227.docx 02/28/2018
Project Description Project Description_Air Quality Information Initiative_20180227.docx 02/28/2018
HTMS Review Form HMTS Expedited Review Form - Air Quality Information Initiative_20180227.pdf 02/28/2018
Message 1 Message1_Air Quality Information Initiative.pdf 02/28/2018
Message 2 Message2_Air Quality Information Initiative.pdf 02/28/2018
Message 3 Message3_Air Quality Information Initiative.pdf 02/28/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.