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

View Information Collection (IC)

Older Adult Mobility Ride Share (OAMRS) 0920-1154-18AEF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 NA No   Fillable Fileable
Form and Instruction 0920-1154 na No   Fillable Fileable
Form and Instruction 0920-1154 NA No   Fillable Fileable
Form and Instruction 0920-1154 NA No   Fillable Fileable
Form and Instruction 0920-1154 NA No   Fillable Fileable
Form and Instruction 0920-1154 NA No   Fillable Fileable
Form and Instruction 0920-1154 NA No   Fillable Fileable

Health Public Health Monitoring

 

535 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 535 0 535 0 0 0
Annual IC Time Burden (Hours) 190 0 190 0 0 0
Annual IC Cost Burden (Dollars) 9,786 0 9,786 0 0 0

Title Document Date Uploaded
Ride Share Partner Outreach Materials 06/26/2018
Informed Consent 06/26/2018
Flyer for Recruitment 06/26/2018
Study Description 06/26/2018
Communication Materials 06/26/2018
PIA 06/26/2018
IRB Documentation 06/26/2018
GenIC Request Template OAMRS 06/26/2018
SSA OAMRS 06/26/2018
SSB OAMRS 06/26/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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