Information Collection

Initial Postcard and Email

IC 228497 under ICR 201709-0920-009 · OMB 0920-1220.

Documents and Forms

Document Name Document Type
Att B-1 B-2. Prenotification Email_Revised_09 26 17.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Initial Postcard and Email	Agency IC Tracking Number:	0920-17HO

Is this a Common Form? No		IC Status: New

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
Instruction			Att B-1 B-2. Prenotification Email_Revised_09 26 17.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 252

Number of Respondents: 1,463	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
Annual Number of Responses for this IC	1,463	1,463
Annual IC Time Burden (Hours)	49	49
Annual IC Cost Burden (Dollars)	1,090	1,090

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.