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

View Information Collection (IC)

Feasibility Study for a MEPS Monthly Check-In
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1B Yes Yes Fillable Fileable
Form and Instruction 1C Yes Yes Fillable Fileable
Form and Instruction 1F Yes Yes Fillable Fileable
Form and Instruction 1G Yes Yes Fillable Fileable
Form and Instruction 1H Yes Yes Fillable Fileable
Form and Instruction 1I Yes Yes Fillable Fileable
Form and Instruction 2B Yes Yes Fillable Fileable
Form and Instruction 2E Yes Yes Fillable Fileable
Instruction No   Paper Only
Instruction No   Printable Only

Health Public Health Monitoring

 

195 0
   
Individuals or Households
 
   50 %

  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 195 0 195 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
Cover Letter 02/11/2022
Attachment 1-D. Study 1 Consent form 03/07/2022
Attachment 1-E. Study 1 Zoom instructions 02/11/2022
Attachment 2-A. Study 2 Recruitment letter 03/07/2022
Attachment 2-C. Study 2 Consent form 03/07/2022
Attachment 2-D. Study 2 Zoom instructions 02/11/2022
Supporting Statement Part A 02/11/2022
Supporting Statement Part B 03/07/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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