Information Collection

Invitation Call Script

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

Documents and Forms

Document Name Document Type
Invitation Call Script Form and Instruction
Invitation Call Script Attachment 4 - SEED Teen Invitation Call Script.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Invitation Call Script	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
Form and Instruction	none	Invitation Call Script	Attachment 4 - SEED Teen Invitation Call Script.docx		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 %

	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

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.