Information Collection

SEED - Mailed Invitation Packet

IC 178538 under ICR 200709-0920-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form No number SEED Brochure Appendix M.2 SEED - Mailed Invitation Packet	Form and Instruction
Appendix M.3 response card 2007 03.doc	Instruction
Appendix M 4 Poster 2007 05 11.JPG	Instruction
No number SEED Brochure Appendix M.2 SEED Brochure with KG edits 09-2007 05 (3).doc	Form and Instruction
Appendix M.1 Invitation Letters 2007 06.doc Introductory Letter	IC Document
SEED brochure.pdf SEED Brochure	IC Document

IC Title:

SEED - Mailed Invitation Packet

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Appendix M.3 response card 2007 03.doc	Yes	No	Fillable Printable
Instruction			Appendix M 4 Poster 2007 05 11.JPG	Yes	Yes	Printable Only
Form and Instruction	No number	SEED Brochure Appendix M.2	SEED Brochure with KG edits 09-2007 05 (3).doc	Yes	Yes	Fillable Printable

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: 17,610

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
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

table that charts IC Documents
Title	Document	Date Uploaded
Introductory Letter	Appendix M.1 Invitation Letters 2007 06.doc	09/11/2007
SEED Brochure	SEED brochure.pdf	09/25/2007

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