Child Maltreatment Surveillance (E-mail Assessment)

Voluntary Product Satisfaction and Usability Assessment

Documents and Forms

Document Name Document Type
Attachment 6 Sample E-mail.pdf Other-Word

Information Collection (IC) Details

IC Title:	Child Maltreatment Surveillance (E-mail Assessment)	Agency IC Tracking Number:

IC Status: Removed

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			Attachment 6 Sample E-mail.pdf		No		Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-60,000	60,000
Annual IC Time Burden (Hours)	-10,000	10,000
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.