OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Reporting: Pilot Study Telephone Interview

IC 198720 under ICR 201202-0910-005 · OMB 0910-0696.

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Information Collection (IC) Details

View Information Collection (IC)

Reporting: Pilot Study Telephone Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire Pilot total ( survey instrument) 7-13-11.doc No No Paper Only

Health Consumer Health and Safety

 

9 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 9 0 0 0 0 9
Annual IC Time Burden (Hours) 4 0 0 0 0 4
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.