Information Collection

ED professionals survey

IC 184579 under ICR 200804-0935-001 · OMB 0935-0139.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form #1 ED professionals survey	Form and Instruction
Form #1 ED professionals survey Attachment B -- ED Professionals Survey.pdf	Form and Instruction
Attachment G - Cover Letter for Telephone Survey.doc Attachment G - Cover Letter for Telephone Survey	IC Document
Attachment I- One Week Postcard.doc Attachment I- One Week Postcard	IC Document
Attachment J- One Week Email.doc Attachment J- One Week Email	IC Document
Attachment K- One Week Phone.doc Attachment K- One Week Phone	IC Document
Attachment L- Three Week Postcard.doc Attachment L- Three Week Postcard	IC Document
Attachment M- Three Week Email.doc Attachment M- Three Week Email	IC Document
Attachment N- Three Week Phone.doc Attachment N- Three Week Phone	IC Document
Attachment F - Cover Letter for Email and Mail Survey.doc Attachment F - Cover Letter for Email and Mail Survey	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	Form #1	ED professionals survey	Attachment B -- ED Professionals Survey.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 405

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	405	405
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment G - Cover Letter for Telephone Survey	Attachment G - Cover Letter for Telephone Survey.doc	04/03/2008
Attachment I- One Week Postcard	Attachment I- One Week Postcard.doc	04/03/2008
Attachment J- One Week Email	Attachment J- One Week Email.doc	04/03/2008
Attachment K- One Week Phone	Attachment K- One Week Phone.doc	04/03/2008
Attachment L- Three Week Postcard	Attachment L- Three Week Postcard.doc	04/03/2008
Attachment M- Three Week Email	Attachment M- Three Week Email.doc	04/03/2008
Attachment N- Three Week Phone	Attachment N- Three Week Phone.doc	04/03/2008
Attachment F - Cover Letter for Email and Mail Survey	Attachment F - Cover Letter for Email and Mail Survey.doc	04/03/2008

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