Information Collection

SEED - Invitation (Telephone Call) Packet

IC 178539 under ICR 201005-0920-003 · OMB 0920-0741.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix_N. Study Start Invitation Phone Call (edit) 2007.doc	Other-WORD
Appendix_J Social Communication Questionnaire Coversheet.pdf Appendix_J Social Communication Questionnaire Coversheet	IC Document

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Appendix_N. Study Start Invitation Phone Call (edit) 2007.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: 1,008

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	Previously Approved
Annual Number of Responses for this IC	1,008	-16,836	17,844
Annual IC Time Burden (Hours)	504	-5,444	5,948
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix_J Social Communication Questionnaire Coversheet	Appendix_J Social Communication Questionnaire Coversheet.pdf	04/15/2010

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