Phone script for Recruitment of MUH operators in LA

Adoption, Health Impact and Cost of Smoke-Free Multi-Unit Housing Policies

Documents and Forms

Document Name Document Type
Phone script for Recruitment of MUH operators in LA Form
Recruitment Script LA Att 4A(e) MUH Operator Recruitment Script LA_9.3.13.docx Form
clean 12.17.13 Att 4A-1(e) Letter to Property Management_9.3.13.docx Notification Letter IC Document

Information Collection (IC) Details

IC Title:	Phone script for Recruitment of MUH operators in LA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	Recruitment Script LA	Att 4A(e) MUH Operator Recruitment Script LA_9.3.13.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 173	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	173	173
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Notification Letter	clean 12.17.13 Att 4A-1(e) Letter to Property Management_9.3.13.docx	12/19/2013

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