Information Collection

Invitation Call Script

IC 227863 under ICR 201708-0920-011 · OMB 0920-1219.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Invitation Call Script Invitation Call Script	Form and Instruction
Invitation Call Script Attachment 4 - SEED Teen Invitation Call Script.docx	Form and Instruction

IC Title:

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
Form and Instruction	none				Yes	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: 282

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	282	282
Annual IC Time Burden (Hours)	71	71
Annual IC Cost Burden (Dollars)	1,227	1,227

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.

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