Information Collection

Recruitment of MUH Operators in LA County

IC 204421 under ICR 201210-0920-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Recruitment of MUH Operators in LA County	Form and Instruction
Recruitment Script for MUH Operators in LA County Att 4A_MUH Operator Recruitment Script LA.docx	Form and Instruction
Att 4A-1_Letter to Property Management.docx Att 4A-1 Letter to Property Manager	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	none	Recruitment Script for MUH Operators in LA County	Att 4A_MUH Operator Recruitment Script LA.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 173

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	173	173
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 4A-1 Letter to Property Manager	Att 4A-1_Letter to Property Management.docx	09/24/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.