OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Study B and Study C

IC 216699 under ICR 202004-0910-008 · OMB 0910-0815.

Documents and Forms
Document Name
Document Type
Other-Respondent Materials - English
Other-Respondent Materials - Spanish
Information Collection (IC) Details

View Information Collection (IC)

Study B and Study C
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Respondent Materials - English Attachment_3_Respondent_Materials_English_CLEAN_042220.pdf No   Printable Only
Other-Respondent Materials - Spanish Attachment_4_Respondent_Materials_Spanish_CLEAN_042220.pdf No   Printable Only

Health Consumer Health and Safety

 

4,000 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 1,320 0 0 0 0 1,320
Annual IC Time Burden (Hours) 872 0 0 0 0 872
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.