Form 1 Simulated Clinical Interaction Survey

A Generic Submission for Theory Development and Validation (NCI)

Attach5B_Questionniare_Screenshots

Sub-study #5_Patient Perspectives and Simulated Clinical Interactions

OMB: 0925-0645

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0925-0645 can be found here:

2014-10-15 - Revision of a currently approved collection

Document [pdf]

Download: pdf | pdf

OMB No.: 0925-0645
Expiration Date: 12/31/2014
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing 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 currently 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 (0925-0645). Do not return the completed form to this address.

File Type	application/pdf
File Title	Patient Perspectives and Simulated Clinical Interactions
Author	Smith, Shaciara (NIH/NHGRI) [F]
File Modified	2013-07-23
File Created	2013-06-07