Information Collection

Health Care Consumer Screening

IC 187250 under ICR 200811-0920-003 · OMB 0920-0801.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0801 can be found here:

Documents and Forms

Document Name Document Type
Att C_HC Consumer Screener_103008.doc Other-WORD

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health Care Consumer Screening	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
Other-WORD			Att C_HC Consumer Screener_103008.doc		No	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 192	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	192	192
Annual IC Time Burden (Hours)	6	6
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.