Information Collection

Recruitment

IC 180566 under ICR 202101-0920-006 · OMB 0920-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Recruitment	Form and Instruction
Recruitment script Att 8c Recruitment Script Facility.docx	Form and Instruction
Recruitment script Att 8c Recruitment Script Facility.docx	Form and Instruction
Att 8a Model Recruitment Letter.docx Model recruitment letter 2017	IC Document
Att 8a Model Recruitment Letter.docx Model recruitment letter 2017	IC Document
Att 8b Recruitment Script Project Staff.docx Recruitment script - project staff	IC Document
Att 8b Recruitment Script Project Staff.docx Recruitment script - project staff	IC Document

IC Title:

Recruitment

Agency IC Tracking Number:

0920-0740

Is this a Common Form? No

IC Status: Modified

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	Recruitment script	Att 8c Recruitment Script Facility.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 970

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	Previously Approved
Annual Number of Responses for this IC	970	-6,790	7,760
Annual IC Time Burden (Hours)	81	-307	388
Annual IC Cost Burden (Dollars)	2,027	-7,650	9,677

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Model recruitment letter 2017	Att 8a Model Recruitment Letter.docx	01/19/2021
Recruitment script - project staff	Att 8b Recruitment Script Project Staff.docx	01/19/2021

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