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

View Information Collection (IC)

Pathways: Qualitative Interviews with Post-Partum Women Associated with Congenital Syphilis Cases (Case Mothers) 0920-0840-18AVE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0840 No   Fillable Fileable
Form and Instruction 0920-0840 No   Fillable Fileable
Form and Instruction 0920-0840 No   Fillable Fileable

Health Illness Prevention

 

420 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 420 0 420 0 0 0
Annual IC Time Burden (Hours) 120 0 120 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Elibility Request 03/26/2019
PHS Act Legislation 03/26/2019
60 Day FRN 03/26/2019
Recruitment Verification Form 03/26/2019
Consent Form 03/26/2019
IRB Letter of Approval 03/26/2019
SSA 03/26/2019
SSB 03/26/2019
PIA 03/26/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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