Deepwater Horizon Responders - Telephone

Deepwater Horizon Response Worker Rostering Survey and Worker Health Survey

Documents and Forms

Document Name Document Type
DEEPWATER HORIZON RESPONSE WORKER HEALTH SURVEY .doc Instruction

Information Collection (IC) Details

IC Title:	Deepwater Horizon Responders - Telephone	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
Instruction			DEEPWATER HORIZON RESPONSE WORKER HEALTH SURVEY .doc		No	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40,000	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	40,000	40,000
Annual IC Time Burden (Hours)	16,667	16,667
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.