Form 15 Att.18 Harvard Lifestyle Questionnaire for iDATA

Attachment 18
Harvard Lifestyle Questionnaire

OMB#: ####-#### EXP.DATE: ##/##/####

NOTIFICATION TO RESPONDENT OF ESTIMATED BURDEN
Public reporting burden for this collection of information is estimated to average 10 minutes for
this questionnaire, including the time to review instructions, search existing data sources,
gather and maintain the data needed, and complete and review the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection
of information unless it displays a current, valid OMB control number. Send comments
regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge
Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN:PRA (####-####).