Information Collection

Record of time spent oudoors

IC 240029 under ICR 202002-0920-009 · OMB 0920-1316.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1316 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Record of time spent oudoors	Form
Reocrd of time spent outdoors Att11 Record of time spent outdoors 20200211.docx	Form

IC Title:

Record of time spent oudoors

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	none	Reocrd of time spent outdoors	Att11 Record of time spent outdoors 20200211.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title: Epidemiologic studies and surveillance of disease problems.

FR Citation: 57 FR 62812

Number of Respondents: 67

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	335	335
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	1,363	1,363

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.