Information Collection

HCV Recruitment Confirmation E-mail/Letter

IC 227633 under ICR 201610-2528-001 · OMB 2528-0313.

Documents and Forms

Document Name Document Type
Appendix F_SAFMR.docx Other-Recruitment Confirmation E-mai

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HCV Recruitment Confirmation E-mail/Letter	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-Recruitment Confirmation E-mail/Letter			Appendix F_SAFMR.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	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	70	70
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	102	102

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.