Leads from SATH eligible respondent

State and Local Area Integrated Telephone Survey (SLAITS)

OMB: 0920-0406

IC ID: 180714

Information Collection (IC) Details

View Information Collection (IC)

Leads from SATH eligible respondent
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 2.doc Yes No Printable Only

Health Public Health Monitoring

 

1,500 0
   
Individuals or Households
 
   100 %

  Requested 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 1,500 0 0 0 0 0
Annual IC Time Burden (Hours) 75 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment or verification methods Attachment 4i.doc 06/05/2007
Thank you letter Attachment 5.doc 06/05/2007
Additional backup material Attachment 6.doc 06/05/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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