Telephone Recruitment and Screening

Salt Sources Study

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.