Information Collection

CATI Recruitment

IC 206646 under ICR 201304-0920-013 · OMB 0920-0972.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CATI Recruitment	Form
CATI Survey Appendix D. Initial CATI Survey.docx	Form
Appendix C2. CATI Informed Consent Statement.doc Informed Consent - CATI	IC Document

IC Title:

CATI Recruitment

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	none	CATI Survey	Appendix D. Initial CATI Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,590

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,590	1,590
Annual IC Time Burden (Hours)	186	186
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Informed Consent - CATI	Appendix C2. CATI Informed Consent Statement.doc	04/17/2013

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