Welcome Screen
dmConsent
Public reporting burden for this collection of information is estimated to average 15 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 current
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 (XXXX-XXXX). Do
not return the completed form to this address.
dmCntry
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmGen & dmAge
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmHispUS
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmRaceMUS
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q5
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmEmploy
OMB Control Number: XXXX-XXXX
Expiration Date: XX/XX/XXXX
Q10
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q20
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q30
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q40
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q50
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q60
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q100
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q105
OMB Control Number: XXXX-XXXX
Expiration Date: XX/XX/XXXX
Q108
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q110
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q111
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q115
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q119
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q120
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q125
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q130
OMB Control Number: XXXX-XXXX
Expiration Date: XX/XX/XXXX
Q135
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q136
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q137
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q200
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q201
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q202
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q205
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q210
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q215
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q220
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q300
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q305
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q310
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q315
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q320
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q335
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q340
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q405
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q410
OMB Control Number: XXXX-XXXX
Expiration Date: XX/XX/XXXX
Q415
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q420
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q425
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Real Answer Check
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
ISQ Check
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmStateUS
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmZipUS
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
Q330
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmEduUS
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmMarStat
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmAdultHh
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmChildHh
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
dmHhIncUS
OMB Control Number: XXXX-XXXX Expiration
Date: XX/XX/XXXX
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Andrew Walton |
File Modified | 0000-00-00 |
File Created | 2021-06-04 |