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PART A, ATTACH A_CHP Screener, Baseline, and Topical Questionnaires_v2
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PART A, ATTACH A_CHP Screener, Baseline, and Topic PART A, ATTACH A_CHP Screener, Baseline, and Topical Questionnaires_v2 (1).docx PART A, ATTACH A_CHP Screener, Baseline, and Topical Questionnaires_v2 (1).docx Yes Yes Fillable Fileable

General Science and Innovation Scientific and Technological Research and Innovation

 

217,500 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 217,500 0 217,500 0 0 0
Annual IC Time Burden (Hours) 72,428 0 72,428 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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