Information Collection

Live phone follow-up survey

IC 198152 under ICR 201202-0920-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Live phone follow-up survey	Form
Live phone follow-up survey Attachment omb.docx	Form

IC Title:

Live phone follow-up survey

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
Form	none	Live phone follow-up survey	Attachment omb.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,125

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,125	3,125
Annual IC Time Burden (Hours)	365	365
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.