Information Collection

Phase 3 - ABS Paper screener - YMOF method

IC 239168 under ICR 202105-0920-008 · OMB 0920-0822.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0822 can be found here:

Documents and Forms

Document Name Document Type
Phase 3 - ABS Paper screener - YMOF method Form and Instruction
ABS Paper screener using YMOF method AttE.4b_Paper Screener Using YMOF Method.docx Form and Instruction
ABS Paper screener using YMOF method AttE.4b_Paper Screener Using YMOF Method.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Phase 3 - ABS Paper screener - YMOF method	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Form and Instruction	none	ABS Paper screener using YMOF method	AttE.4b_Paper Screener Using YMOF Method.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

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

Number of Respondents: 13	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-13	13
Annual IC Time Burden (Hours)	-1	1
Annual IC Cost Burden (Dollars)	-17	17

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.