Information Collection

Induction Interview Providers (NAMCS-1)

IC 220059 under ICR 201702-0920-007 · OMB 0920-0234.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0234 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0234 Induction Interview Providers (NAMCS-1)	Form and Instruction
0920-0234 Att C3- 2016 NAMCS 1 CHC 122115 Att C3- 2016 NAMCS 1 CHC 122115.docx	Form and Instruction

IC Title:

Induction Interview Providers (NAMCS-1)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	0920-0234	Att C3- 2016 NAMCS 1 CHC 122115	Att C3- 2016 NAMCS 1 CHC 122115.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Human Resources Utilization 09-20-0167

FR Citation: 49 FR 37697

Number of Respondents: 234

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	234	234
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.