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

Testing Handwashing and Hand Sanitizer Practices Among Spanish-speaking Adults 0920-0572-21GM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0572 Screener Attachment 1_Screener._Spanish_07_27docx.docx Yes No Fillable Fileable
Other-English translation Screener_english version_07_27.docx No   Fillable Fileable
Form and Instruction 0920-0572 Handwashing Interview Guide Attachment 2_Handwashing Interview Guide_07_27.docx Yes No Fillable Fileable
Other-English translation Handwashing Interview Guide_English.docx No   Fillable Fileable
Form and Instruction 0920-0572 Hand Sanitizer Interiview Guide Attachment 3_Hand Sanitizer Interview Guide_07_27.docx Yes No Fillable Fileable
Other-English translation Hand Sanitizer Interview Guide_English.docx No   Fillable Fileable

Health Consumer Health and Safety

 

550 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 550 0 550 0 0 0
Annual IC Time Burden (Hours) 133 0 133 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Expedited Review Form Spanish Hand Hygiene Expedited Form 7.22.2021.pdf 07/26/2021
Project Determination Project Determination.docx 07/09/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.