View Information Collection (IC)

View Information Collection (IC)

PATH - Adults Household Screener/Field Test
No Removed

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2a Household Screener/Field Test 2a. Household Screener Version 6.1 2012-08-16.pdf Yes Yes Fillable Fileable

Health Immunization Management

NIH Privacy Act System of Records 09-25-0200 Clinical, Basic, Population-based research studies of NIH, HHS/NIH/OD  67 FR 60741

1,295 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 0 0 -1,295 0 0 1,295
Annual IC Time Burden (Hours) 0 0 -367 0 0 367
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.