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Study Orientation
Salt Sources Study
OMB: 0920-0982
IC ID: 207192
OMB.report
HHS/CDC
OMB 0920-0982
ICR 201401-0920-004
IC 207192
( )
Documents and Forms
Document Name
Document Type
Att 9_Study Orientation for Sub Study_01082014.doc
Instruction
Att 8_Study Orientation for Non Sub Study_01082014.doc
Instruction
Att 8A_Dietary Recall Scheduling Form_01082014.docx
8a - Dietary recall scheduling
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Study Orientation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Instruction
Att 9_Study Orientation for Sub Study_01082014.doc
Yes
No
Paper Only
Instruction
Att 8_Study Orientation for Non Sub Study_01082014.doc
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems
FR Citation:
57 FR 252
Number of Respondents:
225
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
225
0
0
0
0
225
Annual IC Time Burden (Hours)
75
0
0
0
0
75
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
8a - Dietary recall scheduling
Att 8A_Dietary Recall Scheduling Form_01082014.docx
01/08/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.