Household Component - Biospecimen Collection (Day 7 and 14)

Information Collection on Cause-Specific Absenteeism in Schools

Documents and Forms

Document Name Document Type
Att. C7 - Student Biospecimen Collection.docx Instruction
Att. C7 - Student Biospecimen Collection.docx Instruction

Information Collection (IC) Details

IC Title:	Household Component - Biospecimen Collection (Day 7 and 14)	Agency IC Tracking Number:	0920-1039

Is this a Common Form? No		IC Status: New

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
Instruction			Att. C7 - Student Biospecimen Collection.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Records of Subjects in Health Promotion and Education Studies	FR Citation: 51 FR 42484

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	240	-60	300
Annual IC Time Burden (Hours)	20	-5	25
Annual IC Cost Burden (Dollars)	0	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.