Individuals Screened

Facts for Consumers About Health

OMB: 0955-0002

IC ID: 189373

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

View Information Collection (IC)

Individuals Screened
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Moderator Guide 0990-Facts for Consumers Statement-attahment.doc Yes Yes Paper Only

Health Consumer Health and Safety

 

84 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 84 0 84 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
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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