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

View Information Collection (IC)

Wave 1 Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form N/A N/A Yes Yes Fillable Fileable
Form N/A N/A Yes Yes Fillable Fileable

Health Illness Prevention

 

3,000 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 3,000 0 3,000 0 0 0
Annual IC Time Burden (Hours) 1,000 0 1,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Wave 1 Survivor Survey consent form 09/04/2024
Wave 1 Survivor Survey consent form_Spanish 09/04/2024
Wave 1 Survivor Survey recruitment communications 09/04/2024
Wave 1 Survivor Survey recruitment communications_Spanish 09/04/2024
ave 1 Survivor Survey Paper_English 17MAR2025 03/17/2025
Wave 1 Survivor Survey Paper_Spanish 17MAR2025 03/17/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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