OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

NHBS Recruiter Debriefing

IC 196956 under ICR 202605-0920-010 · OMB 0920-0770.

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

View Information Collection (IC)

NHBS Recruiter Debriefing
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0770 Recruiter Debriefing (English) MAY2026 Att 3e_Recruiter_Debriefing_Eng_2026_28MAY2026.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-0770 Recruiter Debriefing (Spanish) MAY2026 Att 4e_Recruiter_Debriefing_Spanish_2026_28MAY2026.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62811

3,500 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 3,500 0 167 0 0 3,333
Annual IC Time Burden (Hours) 117 0 5 0 0 112
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruiter Training Script Att 15_Recruiter training script.docx 09/27/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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