Information Collection

Assistance Dog Provider Recruitment Email

IC 206848 under ICR 201305-0920-006 · OMB 0920-0985.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment C1 - Provider Emails 4 1 13.docx	Other-Recruitment Email
Attachment C2 Provider Follow up phone call script 13 3 13.docx	Other-Provider Follow-up Phone Call

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
Other-Recruitment Email			Attachment C1 - Provider Emails 4 1 13.docx		Yes	Yes	Printable Only
Other-Provider Follow-up Phone Call Script			Attachment C2 Provider Follow up phone call script 13 3 13.docx		Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	117	117
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.