Initial Telephone Interview

Zika Emergency Package V: Assessment of Interventions Intended to Protect Pregnant Women in Puerto Rico from Zika virus Infections

OMB: 0920-1118

IC ID: 221888

Information Collection (IC) Details

View Information Collection (IC)

Initial Telephone Interview
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Initial Telephone Interview - ENGLISH 27JUN2016 Attachment C Initial telephone interview.ENGLISH-June 25.CLEAN.NEW NUMBERS.docx NA No   Paper Only
Form and Instruction NA Initial Telephone Interview - SPANISH 27JUN2016 Attachment C Initial telephone interview Spanish-June 25.CLEAN.NEW NUMBERS.docx NA No   Paper Only

Health Illness Prevention

 

1,800 0
   
Individuals or Households
 
   0 %

  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 1,800 0 0 0 0 1,800
Annual IC Time Burden (Hours) 600 0 0 0 0 600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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