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Pilot Survey To Test The Feasibility Of Collecting Behavioral/causal Data From Victims Treated In Hospital Emergency Rooms For Product-related Injuries Either 1) In

IC 149171 under ICR 198604-3041-002 · OMB 3041-0073.

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PILOT SURVEY TO TEST THE FEASIBILITY OF COLLECTING BEHAVIORAL/CAUSAL DATA FROM VICTIMS TREATED IN HOSPITAL EMERGENCY ROOMS FOR PRODUCT-RELATED INJURIES EITHER 1) IN
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability


    

1,460 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 1,460 0 1,460 0 0 0
Annual IC Time Burden (Hours) 62 0 62 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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