Information Collection

Recruitment of MUH Operators in MN, ME, FL

IC 204439 under ICR 201210-0920-003 · OMB 0920-1004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Recruitment of MUH Operators in MN, ME, FL	Form and Instruction
Recruitment Script for MUH Operators Att 5A_MUH Operator Recruitment Script MNMEFL.docx	Form and Instruction

IC Title:

Recruitment of MUH Operators in MN, ME, FL

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	Att 5A_MUH Operator Recruitment Script MNMEFL.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

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	6	6
Annual IC Time Burden (Hours)	1	1
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.