Information Collection

CDC INFO - Special Event - Outreach Survey - General Public

IC 180276 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
CDC INFO - Special Event - Outreach Survey - General Public Form
Attachments T and U - SE-OS (General Public) 0920-05CO CDC INFO Attachments T and U_2007-02-22.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CDC INFO - Special Event - Outreach Survey - General Public	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
Form	None	Attachments T and U - SE-OS (General Public)	0920-05CO CDC INFO Attachments T and U_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: 25,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,600	25,600
Annual IC Time Burden (Hours)	2,133	2,133
Annual IC Cost Burden (Dollars)	0	0

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.