Information Collection

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

IC 180268 under ICR 201203-0920-004 · OMB 0920-0753.

Documents and Forms

Document Name Document Type
CDC INFO - Brief interactive voice response survey (English and Spanish) Form
Interactive Voice Response Survey - English and Spanish attachment B.doc Form

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	none	Interactive Voice Response Survey - English and Spanish	attachment B.doc		Yes	Yes	Fillable Fileable

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	92,000	0	92,000
Annual IC Time Burden (Hours)	3,067	-3,066	6,133
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.