Information Collection

Follow-up Call Packet

IC 227864 under ICR 201708-0920-011 · OMB 0920-1219.

Documents and Forms

Document Name Document Type
Attachment 5 - SEED Teen Follow-up Call Checklist.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow-up Call Packet	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
Instruction			Attachment 5 - SEED Teen Follow-up Call Checklist.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: 158	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	158	158
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	458	458

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.