Information Collection

Recruitment Of Districts

IC 185552 under ICR 201210-0920-006 · OMB 0920-0621.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0621 can be found here:

Documents and Forms

Document Name Document Type
Attachment F-1. Recruitment Script for the NYTS (district version) - 06 08 2011.doc Other-WORD
Attachment F-2. Districtl Letter of Invitation - 06 08 2011.doc Attachment F-2 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	RECRUITMENT OF DISTRICTS	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
Other-WORD			Attachment F-1. Recruitment Script for the NYTS (district version) - 06 08 2011.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment F-2	Attachment F-2. Districtl Letter of Invitation - 06 08 2011.doc	09/15/2011

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