Information Collection

Email Invitation for OD2A Survey

IC 247859 under ICR 202106-0920-004 · OMB 0920-1355.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1355 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att 7. Email Invitation 3.25.21.pdf	Other-Email
Att 7. Email Invitation 3.25.21.pdf	Other-Email

IC Title:

Email Invitation for OD2A Survey

Agency IC Tracking Number:

0920-21BL

Is this a Common Form? No

IC Status: New

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-Email			Att 7. Email Invitation 3.25.21.pdf		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 440

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	440	440
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

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.