Information Collection

Assistance Dog Provider Recruitment Email

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Assistance Dog Provider Recruitment Email	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
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 %

	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

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.