Information Collection

Moderator's Guide

IC 192851 under ICR 201005-0920-001 · OMB 0920-0858.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0858 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form nopne Moderator's Guide	Form
nopne Moderator's Guide for 16-19 years old REV_Att6_Mod guide young adults.final. 01.22.2010.doc	Form
Moderator's Guide for Parents REV_Att7_Mod guide parents. final. 01.22.2010.doc	Form

IC Title:

Moderator's Guide

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	nopne	Moderator's Guide for 16-19 years old	REV_Att6_Mod guide young adults.final. 01.22.2010.doc		No	No	Paper Only
Form	none	Moderator's Guide for Parents	REV_Att7_Mod guide parents. final. 01.22.2010.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 108

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	108	108
Annual IC Time Burden (Hours)	162	162
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.