Information Collection

Invitation to Participate in the Covid-19 Impact Assessment

IC 244371 under ICR 202102-0920-008 · OMB 0920-1171.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ITEM #7 Appendix A.1_COV-IMP_ Invitation letter.docx	Other-Invitation Letter
ITEM #7 Appendix A.1_COV-IMP_ Invitation letter.docx	Other-Invitation Letter

IC Title:

Agency IC Tracking Number:

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-Invitation Letter			ITEM #7 Appendix A.1_COV-IMP_ Invitation letter.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: 81 FR 9200

Number of Respondents: 1,330

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	1,330	1,330
Annual IC Time Burden (Hours)	222	222
Annual IC Cost Burden (Dollars)	5,700	5,700

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.