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Federal forms, ICRs, and supporting documents

Information Collection

Rapid Message Testing With Consumer Panel - Asthma Fact Sheet

IC 234886 under ICR 201712-0910-001 · OMB 0910-0695.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Interview Guide
Other-Factsheet in English
Other-Factsheet in Spanish
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Rapid Message Testing With Consumer Panel - Asthma Fact Sheet OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Recruitment Screener.DOCX Yes Yes Fillable Fileable
Other-Interview Guide Interview Guide.DOCX Yes No Paper Only
Other-Factsheet in English Asthma Factsheet in English.pdf Yes No Paper Only
Other-Factsheet in Spanish Asthma Factsheet in Spanish.pdf Yes No Paper Only

Health Consumer Health and Safety

 

250 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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 21 0 21 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0695 OMB Approval Memo - Asthma Fact Sheet.docx 02/08/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.