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View Information Collection (IC)

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Multimorbidity and Medications: The Unheard Perspective of Older Adults CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Invitation email (English) 0847 MUMs Invite Letter - Email (English).docx Yes Yes Fillable Fileable
Other-Invitation email (Spanish) 0847 MUMs Invite Letter - Email (Spanish).docx Yes Yes Fillable Fileable
Other-Invitation letter postal (English) 0847 MUMs Invite Letter - Postal (English).docx Yes Yes Fillable Fileable
Other-Invitation letter postal (Spanish) 0847 MUMs Invite Letter - Postal (Spanish).docx Yes Yes Fillable Fileable
Other-Information sheet (English) 0847 MUMs Information sheet (English).docx Yes No Printable Only
Other-Information sheet (Spanish) 0847 MUMs Information sheet (Spanish).docx Yes No Printable Only
Other-Survey (English) 0847 MUMs Survey (English).docx Yes Yes Fillable Fileable
Other-Survey (Spanish) 0847 MUMs Survey (Spanish).docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,150 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 1,322,500 0 1,322,500 0 0 0
Annual IC Time Burden (Hours) 429 0 429 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo / Abbreviated Supporting Statement 0847 OMB Memo MUMs 2023 final.docx 03/08/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.