OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Telephone Recruitment and Screening

IC 207189 under ICR 201401-0920-004 · OMB 0920-0982.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Telephone Recruitment and Screening
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none 4a - Telephone recruitment and screening Att 4A_Telephone Recruitment and Screening Script_01082014.docx No No Fillable Printable

Health Immunization Management

09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems   57 FR 252

225 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 225 0 0 0 0 225
Annual IC Time Burden (Hours) 38 0 0 0 0 38
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
4b - Cover letter for those not reached by phone Att 4B_Cover Letter-Those who cannot be reached by phone_01082014.docx 01/08/2014
4c - Cover letter for phone recruits Att 4C_Cover Letter-Phone Recruits_01082014.docx 01/08/2014
4d - Fact sheet Att 4D_Study Fact Sheet_01082014.docx 01/08/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.