Information Collection

Invitation Call Script

IC 224183 under ICR 202102-0920-008 · OMB 0920-1171.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 21.b. Invitation Call Script - DD source selection SEED 3_revised.docx	Other-WORD
Attachment 21.b. Invitation Call Script - DD source selection SEED 3_revised.docx	Other-WORD
Attachment 5. Social Communication Questionnaire (SCQ).pdf	Other-WORD
Attachment 5. Social Communication Questionnaire (SCQ).pdf	Other-WORD
Attachment 5 CoverSheet_Social Communication Questionnaire (SCQ) pdf.doc Att 5_Coversheet for SCQ	IC Document
Attachment 5 CoverSheet_Social Communication Questionnaire (SCQ) pdf.doc Att 5_Coversheet for SCQ	IC Document

IC Title:

Agency IC Tracking Number:

16PA

Is this a Common Form? No

IC Status: Unchanged

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
Other-WORD					No		Paper Only
Other-WORD					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 321

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	Previously Approved
Annual Number of Responses for this IC	321	321
Annual IC Time Burden (Hours)	161	161
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 5_Coversheet for SCQ		10/27/2016

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

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