Information Collection

Follow-up Call 2 (Mother) POP

IC 224016 under ICR 202102-0920-008 · OMB 0920-1171.

Documents and Forms

Document Name Document Type
Att 21.d. Follow-up Call Items Checklist SEED 3_3-7-17.docx Other-WORD
Att 21.d. Follow-up Call Items Checklist SEED 3_3-7-17.docx Other-WORD

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow-up Call 2 (Mother) POP	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Att 21.d. Follow-up Call Items Checklist SEED 3_3-7-17.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 375	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	375	375
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.