Information Collection

Att K_ Telephone Script

IC 218171 under ICR 201509-0920-002 · OMB 0920-1098.

Documents and Forms

Document Name Document Type
Att J_Telephone Script_15Jan2016.docx Other-WORD
Att I_Reminder Email.docx Att I_Reminder Email IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Att K_ Telephone Script	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
Other-WORD			Att J_Telephone Script_15Jan2016.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 119	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	119	119
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att I_Reminder Email	Att I_Reminder Email.docx	09/14/2015

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