Information Collection

Reminder email to T2 web-survey participants (ER/ES)

IC 213299 under ICR 201501-0925-002 · OMB 0925-0712.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0712 can be found here:

Documents and Forms

Document Name Document Type
Form 6 Reminder email to T2 web-survey participants (ER/ES) Form
6 Reminder email to T2 web-survey participants Attachment 13 reminder email with unique link to complete T2 web-survey.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reminder email to T2 web-survey participants (ER/ES)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	6	Reminder email to T2 web-survey participants	Attachment 13 reminder email with unique link to complete T2 web-survey.docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	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	400	400
Annual IC Time Burden (Hours)	33	33
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.