Information Collection

Invitation to participate

IC 244940 under ICR 202012-0920-010 · OMB 0920-1356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Invitation to participate	Form and Instruction
Invitation to participate AttachmentH_Household_Invitation_Letter.docx	Form and Instruction

IC Title:

Invitation to participate

Agency IC Tracking Number:

0920-20QO

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 and Instruction	none	Invitation to participate	AttachmentH_Household_Invitation_Letter.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,121

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,121	3,121
Annual IC Time Burden (Hours)	104	104
Annual IC Cost Burden (Dollars)	2,965	2,965

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.