Information Collection

Invitation Packet

IC 227862 under ICR 201708-0920-011 · OMB 0920-1219.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 3. Cover Sheet for Invitation Packet.doc	Instruction
Response Card Attachment 3.b - SEED Teen Response Card.docx	Form
Attachment 3.a.1 - SEED Teen Invitation letter_v1 GA.docx Invitation letter for GA	IC Document
Attachment 3.a.2 - SEED Teen Invitation letter_v2 NC.docx Invitation letter for NC	IC Document
Attachment 3.a.3 - SEED Teen Invitation letter_v3 MD PA.docx Invitation letter for MD and PA	IC Document
Attachment 3.c - NC SEED Teen Postcard.pub Postcard	IC Document
Attachment 3.d - SEED Teen Email Message.docx Invitation email	IC Document

IC Title:

Invitation Packet

Agency IC Tracking Number:

Is this a Common Form? No

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
Instruction			Attachment 3. Cover Sheet for Invitation Packet.doc		No		Paper Only
Form	none	Response Card	Attachment 3.b - SEED Teen Response Card.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Epidemiologic Studies and Surveilance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 470

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	470	470
Annual IC Time Burden (Hours)	39	39
Annual IC Cost Burden (Dollars)	682	682

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Invitation letter for GA	Attachment 3.a.1 - SEED Teen Invitation letter_v1 GA.docx	08/09/2017
Invitation letter for NC	Attachment 3.a.2 - SEED Teen Invitation letter_v2 NC.docx	08/09/2017
Invitation letter for MD and PA	Attachment 3.a.3 - SEED Teen Invitation letter_v3 MD PA.docx	08/09/2017
Postcard	Attachment 3.c - NC SEED Teen Postcard.pub	08/09/2017
Invitation email	Attachment 3.d - SEED Teen Email Message.docx	08/09/2017

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