Information Collection

Telephone Recruitment and Screening

IC 207189 under ICR 201306-0920-001 · OMB 0920-0982.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0982 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Telephone Recruitment and Screening	Form and Instruction
Telephone Recruitment and Screening Script Att 4A_Telephone Recruitment and Screening Script_8_28_2013.docx	Form and Instruction
Att 4B _Cover Letter-Those who cannot be reached by phone_8_28_2013.docx Att 4B _Cover Letter-Those who cannot be reached by phone	IC Document
Att 4C_Cover Letter-Phone Recruits.docx Att 4C_Cover Letter-Phone Recruits	IC Document
Att 4D_Study Fact Sheet_8_28_2013.docx Att 4D_Study Fact Sheet	IC Document

IC Title:

Telephone Recruitment and Screening

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 and Instruction	None	Telephone Recruitment and Screening Script	Att 4A_Telephone Recruitment and Screening Script_8_28_2013.docx		No	No	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title: 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 252

Number of Respondents: 225

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	225	225
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 4B _Cover Letter-Those who cannot be reached by phone	Att 4B _Cover Letter-Those who cannot be reached by phone_8_28_2013.docx	09/04/2013
Att 4C_Cover Letter-Phone Recruits	Att 4C_Cover Letter-Phone Recruits.docx	06/04/2013
Att 4D_Study Fact Sheet	Att 4D_Study Fact Sheet_8_28_2013.docx	09/04/2013

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