Information Collection

4-Poster Deer Treatment Device Acceptability Survey

IC 240125 under ICR 201907-0920-004 · OMB 0920-1150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1150 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
4-Poster Deer Treatment Device Acceptability Survey	Form
CT survey CT Survey_revised for ICRO.pdf	Form
NY Survey NY Survey_revised for ICRO.pdf	Form
1_Recruitment areas.docx List of recruitment areas	IC Document
3_Survey reminder postcard.pptx Reminder postcard	IC Document
5_Survey video.pptx Survey video	IC Document
6_Thank you letter.docx Thank you letter	IC Document
7_CDC study website.docx Study website	IC Document
8_4-Poster Acceptability_protocol_v1_011520.docx Study protocol	IC Document
9_Human subjects determination.docx Research determination	IC Document
SSA.docx Supporting statement A	IC Document
SSB.docx Supporting statement B	IC Document
2_Survey invitation postcard.pptx Survey invitation	IC Document

IC Title:

4-Poster Deer Treatment Device Acceptability Survey

Agency IC Tracking Number:

0920-1150-20KS

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	none	CT survey	CT Survey_revised for ICRO.pdf		Yes	Yes	Fillable Fileable
Form	none	NY Survey	NY Survey_revised for ICRO.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
List of recruitment areas	1_Recruitment areas.docx	02/27/2020
Reminder postcard	3_Survey reminder postcard.pptx	02/27/2020
Survey video	5_Survey video.pptx	02/27/2020
Thank you letter	6_Thank you letter.docx	02/27/2020
Study website	7_CDC study website.docx	02/27/2020
Study protocol	8_4-Poster Acceptability_protocol_v1_011520.docx	02/27/2020
Research determination	9_Human subjects determination.docx	02/27/2020
Supporting statement A	SSA.docx	02/27/2020
Supporting statement B	SSB.docx	02/27/2020
Survey invitation	2_Survey invitation postcard.pptx	03/02/2020

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