Information Collection

SEED - Follow-Up Telephone Calls

IC 180497 under ICR 201005-0920-003 · OMB 0920-0741.

Documents and Forms

Document Name Document Type
Form No number SEED - Follow-Up Telephone Calls Form and Instruction
No number Appendix O Follow up Calls Appendix O.1 follow-up telephone script.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SEED - Follow-Up Telephone Calls	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
Form and Instruction	No number	Appendix O Follow up Calls	Appendix O.1 follow-up telephone script.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 347	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,041	-9,327	10,368
Annual IC Time Burden (Hours)	347	-3,397	3,744
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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