ORCHARDS Phone Screening

Information Collection on Cause-Specific Absenteeism in Schools

OMB: 0920-1039

IC ID: 212402

Information Collection (IC) Details

View Information Collection (IC)

ORCHARDS Phone Screening
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att C4- Univ of Wisconsin - Screening Form.docx Yes Yes Fillable Printable
Other-WORD Att C5- Univ of Wisconsin - Acute Respiratory Infection and Influenza Surveillance Form.docx Yes Yes Fillable Printable

Health Public Health Monitoring

09-20-0160 Records of Subjects in Health Promotion and Education Studies, HHS/CDC.CHPE  51 FR 42484

1,500 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,000 0 0 0 0 6,000
Annual IC Time Burden (Hours) 500 0 0 0 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att D - FRN comment Att D FRN comment.docx 07/24/2014
Att C3 Univ of Wisconsin - Consent Att C3- Univ of Wisconsin - consent_assent forms.docx 07/24/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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