Information Collection

Survey on the CDC's 2003 Guidelines for Infection Control in Dental Health Care Settings

IC 179919 under ICR 200705-0920-001 · OMB 0920-0750.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey on the CDC's 2003 Guidelines for Infection Control in Dental Health Care Settings	Form and Instruction
Survey on the CDC's 2003 Guidelines for Infection Contro Attachment 4.coverletter and Study Questionnaire.doc	Form and Instruction
Attachment5.followupletter.doc Follow-up Letter	IC Document
Attachment6. Postal Card Reminder.doc Postal Card Reminder	IC Document
Attachment 3.advanceletter.doc Advance Letter	IC Document
Attachment7. follow-upphone call script.doc Script for Follow-up Telephone Call	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Survey on the CDC's 2003 Guidelines for Infection Control in Dental Health Care Settings	Attachment 4.coverletter and Study Questionnaire.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title: 0920-0136, Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 4,550

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,550	4,550
Annual IC Time Burden (Hours)	1,138	1,138
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Follow-up Letter	Attachment5.followupletter.doc	04/12/2007
Postal Card Reminder	Attachment6. Postal Card Reminder.doc	04/12/2007
Advance Letter	Attachment 3.advanceletter.doc	04/12/2007
Script for Follow-up Telephone Call	Attachment7. follow-upphone call script.doc	04/12/2007

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