Older Adult Mobility Planning Brochure

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 229714

Information Collection (IC) Details

View Information Collection (IC)

Older Adult Mobility Planning Brochure 0920-0572-18GR
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Att E_Confirmatory Letter.pdf Yes No Paper Only
Other-Focus Group Guide Att F_Focus Group M Guide.docx Yes No Paper Only
Form and Instruction none Participant Screener Att C_Participant Screener_v2.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

36 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 36 0 36 0 0 0
Annual IC Time Burden (Hours) 106 0 106 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HMTS Expedited Review Form HMTSExpeditedReviewForm Mobility Planning Tool.pdf 01/11/2018
My Mobility Brochure Att A_My Mobility brochure.pdf 01/11/2018
Project Description Att. B. Project Description.docx 01/11/2018
Consent Att D_Consent Form_rev.docx 01/11/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy