Information Collection

Phone script for Recruitment of MUH operators in LA

IC 204436 under ICR 201309-0920-011 · OMB 0920-1004.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.