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View Information Collection (IC)

Assessment for the Get Ahead of Sepsis Consumer Campaign 0920-0572-20HL
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0572 Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

360 0
   
Individuals or Households
 
   100 %

  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 360 0 360 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
GAOS Overview Consumers 02/26/2020
Consumer Recruitment Invitation 02/26/2020
Pretest Instrument Word version 02/26/2020
Posttest Instrument Word version 02/26/2020
Human Subjects Determination 02/26/2020
GAOS Consumer Materials for Assessment 02/26/2020
HMTS Expedited Review Form GAOS 02/26/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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