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Individual Interview Questions (Feature Stories)
Activities Associated with Developing a Web-based Resource for Youth about Clinical Research (NHLBI)
OMB: 0925-0729
IC ID: 217715
OMB.report
HHS/NIH
OMB 0925-0729
ICR 201511-0925-006
IC 217715
( )
Documents and Forms
Document Name
Document Type
Form 7
Individual Interview Questions (Feature Stories)
Form and Instruction
Attachment P_Web-Based Resource Screenshots (Feature Stories).pdf
Other-screenshot
7 Attachment B Individual Interview Questions (Feature Sto
Attachment B_Individual Interview Questions (Feature Stories).docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Individual Interview Questions (Feature Stories)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
7
Attachment B Individual Interview Questions (Feature Stories)
Attachment B_Individual Interview Questions (Feature Stories).docx
Yes
Yes
Fillable Fileable
Other-screenshot
Attachment P_Web-Based Resource Screenshots (Feature Stories).pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
3
0
3
0
0
0
Annual IC Time Burden (Hours)
6
0
6
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.