View Information Collection (IC)

View Information Collection (IC)

Att 3 Clinic Eligibility Screening Interview
No New

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2 Att 3 Clinic Eligibility Screening Interview Att.3 Clinic Eilgibility Screening Interview.docx No No Paper Only

Health Consumer Health and Safety

SORN #09-25-200, "Clinical, Basic, and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD."   67 FR 60776

742 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 742 0 742 0 0 0
Annual IC Time Burden (Hours) 124 0 124 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.