Information Collection

Perception of Cool Down Day Survey

IC 232412 under ICR 201906-0925-001 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Perception of Cool Down Day Survey	Form and Instruction
1 Cool Down Day BDS Cool Down Day BDS-screenshot_7.27.18.pdf	Form and Instruction
071918-CR-GB-PRA Request Form-Cool Down Day (2).doc Perception of Cool Down Day Survey	IC Document
071918-CR-GB-PRA-TTosten Email-Survey-Cool Down (2) (1).docx Invitation Email	IC Document

IC Title:

Perception of Cool Down Day Survey

Agency IC Tracking Number:

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	1	Cool Down Day BDS	Cool Down Day BDS-screenshot_7.27.18.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,088

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,088	2,088
Annual IC Time Burden (Hours)	174	174
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Perception of Cool Down Day Survey	071918-CR-GB-PRA Request Form-Cool Down Day (2).doc	07/27/2018
Invitation Email	071918-CR-GB-PRA-TTosten Email-Survey-Cool Down (2) (1).docx	07/27/2018

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