SEARCH Health Questionnaire (Youth )

SEARCH for Diabetes in Youth Study

OMB: 0920-0904

IC ID: 211580

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Document Type
Other-WORD
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SEARCH Health Questionnaire (Youth ) 0920-0904
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 4b.1_Health Questionnaire (Young Adult_ Feb 2014).pdf Yes Yes Fillable Printable

Health Consumer Health and Safety

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

710 0
   
Individuals or Households
 
   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 710 0 710 0 0 0
Annual IC Time Burden (Hours) 178 0 178 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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