First Text Message Survey Follow-up for Non-Smartphone Users

Use of Smartphones to Collect Information about Health Behaviors: Feasibility Study

Documents and Forms

Document Name Document Type
First Text Message Survey Follow-up for Non-Smartphone Users Form
First Text Message Appendix G. First Text Msg Follow-up for non-SP Users_4 08 2013.docx Form
Appendix G2. Invitation for First Text Message Survey Follow-up for non-Smartphone Users.docx Invitation for First Text Message IC Document

Information Collection (IC) Details

IC Title:	First Text Message Survey Follow-up for Non-Smartphone Users	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	First Text Message	Appendix G. First Text Msg Follow-up for non-SP Users_4 08 2013.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Invitation for First Text Message	Appendix G2. Invitation for First Text Message Survey Follow-up for non-Smartphone Users.docx	04/17/2013

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