OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Study 1 - Mall Intercept

IC 199762 under ICR 201301-0910-005 · OMB 0910-0713.

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

View Information Collection (IC)

Study 1 - Mall Intercept
 
No Modified
 
Mandatory
 
21 CFR 202.1(e)(2)(i) 21 CFR 202.1(e)(5) and (ii) 21 CFR 202.1(e)(6)(i)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Script Mall Intercept-Recruitment Script.doc Yes Yes Fillable Printable

Health Illness Prevention

 

1,950 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 1,950 0 0 0 0 1,950
Annual IC Time Burden (Hours) 650 0 0 0 0 650
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.