Information Collection

Mailed Invitation Packet

IC 178538 under ICR 200702-0920-001 · OMB 0920-0741.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0741 can be found here:

Documents and Forms

Document Name Document Type
Appendix M2-M4 Introductory Packet .pdf Other-Response Card
Appendix M.1 Invitation Letters 6-42007 doc.doc Invitation Letter IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Mailed Invitation Packet	Agency IC Tracking Number:

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
Other-Response Card			Appendix M2-M4 Introductory Packet .pdf		Yes	Yes	Printable Only

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 62812

Number of Respondents: 8,922	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	8,922	8,922
Annual IC Time Burden (Hours)	1,487	1,487
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Invitation Letter	Appendix M.1 Invitation Letters 6-42007 doc.doc	06/05/2007

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