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

View Information Collection (IC)

User Experience Interview 0920-24CB
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24CB Yes Yes Fillable Fileable
Form 0920-24CB Yes Yes Fillable Fileable

Health Illness Prevention

 

30 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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 10 0 10 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
User Experience Interviews_Recruitment Email_English 08/02/2024
User Experience Interviews_Recruitment Email_Spanish 08/02/2024
User Experience Interviews_Consent Statement_English 08/02/2024
User Experience Interviews_Consent Statement_Spanish 08/02/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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