Information Collection

Nature and Availability of Commercial Tick Control Services Survey for New York and Pennsylvania

IC 229491 under ICR 201606-0920-021 · OMB 0920-1150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1150 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1150 Nature and Availability of Commercial Tick Control Services Survey for New York and Pennsylvania	Form and Instruction
0920-1150 Nature and Availability of Commercial Tick Control Servi Att. 1 - PCO Survey (PA version).docx	Form and Instruction
0920-1150 Nature and Availability of Commercial Tick Control Servi Att. 1 - PCO Survey NY version).docx	Form and Instruction
Supporting Statement A_GenIC.PCOSurvey.PAandNY2017_Clean.docx Supporting Statement A	IC Document
Supporting Statement B_GenIC.PCOSurvey.PAandNY2017 - Clean.docx Supporting Statement B	IC Document
Att. 2 - IRB.PDF REQUEST for Project Determination & Approval	IC Document

IC Title:

Nature and Availability of Commercial Tick Control Services Survey for New York and Pennsylvania

Agency IC Tracking Number:

0920-1150 18IM

IC Status: New

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 and Instruction	0920-1150	Nature and Availability of Commercial Tick Control Services Survey for New York and Pennsylvania (PA)	Att. 1 - PCO Survey (PA version).docx	NA	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1150	Nature and Availability of Commercial Tick Control Services Survey for New York and Pennsylvania (NY)	Att. 1 - PCO Survey NY version).docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0136 Epedemiologic Studie and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 1,700

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	1,700	1,700
Annual IC Time Burden (Hours)	284	284
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A	Supporting Statement A_GenIC.PCOSurvey.PAandNY2017_Clean.docx	12/19/2017
Supporting Statement B	Supporting Statement B_GenIC.PCOSurvey.PAandNY2017 - Clean.docx	12/19/2017
REQUEST for Project Determination & Approval	Att. 2 - IRB.PDF	12/19/2017

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