Information Collection

CDC INFO - Web survey for email inquirers

IC 180271 under ICR 200705-0920-007 · OMB 0920-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0753 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDC INFO - Web survey for email inquirers	Form
Attachments I and J - WSFE-MI 0920-05CO CDC INFO Attachments I and J_2007-02-22.doc	Form

IC Title:

CDC INFO - Web survey for email inquirers

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	None	Attachments I and J - WSFE-MI	0920-05CO CDC INFO Attachments I and J_2007-02-22.doc	None	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 330

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	330	330
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.