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Recruitment telephone Script
Preventing HIV Risk Behaviors Among Hispanic Adolescents
OMB: 0920-0871
IC ID: 194320
OMB.report
HHS/CDC
OMB 0920-0871
ICR 201008-0920-010
IC 194320
( )
Documents and Forms
Document Name
Document Type
att5c_RecruitPhoneScript_ENG.doc
Instruction
att5e_RecruitPhoneScript_SPA.doc
Instruction
att5b_RecruitLetter_ENG.doc
Attachment 5b Recruitment Letter
IC Document
att5a_Recruitment Flyer.doc
Attachment 5a Recruitment Flyer
IC Document
att5d_RecruitLetter_SPA.doc
Attachment 5d Recruitment Letter Spanish
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Recruitment telephone Script
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
att5c_RecruitPhoneScript_ENG.doc
Yes
Yes
Printable Only
Instruction
att5e_RecruitPhoneScript_SPA.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
400
0
400
0
0
0
Annual IC Time Burden (Hours)
60
0
60
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 5b Recruitment Letter
att5b_RecruitLetter_ENG.doc
07/23/2010
Attachment 5a Recruitment Flyer
att5a_Recruitment Flyer.doc
07/23/2010
Attachment 5d Recruitment Letter Spanish
att5d_RecruitLetter_SPA.doc
07/23/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.