Information Collection

CDC INFO - Brief interactive voice response survey (English and Spanish)

IC 180268 under ICR 201010-0920-009 · OMB 0920-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0753 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0753 CDC INFO - Brief interactive voice response survey (English and Spanish) Form and Instruction
0920-0753 Attachment F Interactive Voice Response Survey (Spanish) Attachment F Voice Response Survey (Spanish).doc Form and Instruction
0920-0753 Attachment E Interactive Voice Response Survey (English) Attachment E Voice Response Survey (English).doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CDC INFO - Brief interactive voice response survey (English and Spanish)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	0920-0753	Attachment F Interactive Voice Response Survey (Spanish)	Attachment F Voice Response Survey (Spanish).doc		Yes	No	Fillable Printable
Form and Instruction	0920-0753	Attachment E Interactive Voice Response Survey (English)	Attachment E Voice Response Survey (English).doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 92,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	92,000	67,000	25,000
Annual IC Time Burden (Hours)	6,133	4,883	1,250
Annual IC Cost Burden (Dollars)	0	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.