Information Collection

Household Component - Biospecimen Collection (Day 0, 7 and 14)

IC 248917 under ICR 202108-0920-002 · OMB 0920-1039.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att. C7 - Student Biospecimen Collection.docx	Instruction
Att. C7 - Student Biospecimen Collection.docx	Instruction

IC Title:

Agency IC Tracking Number:

0920-1039

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
Instruction				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: 720

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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,440	1,200	240
Annual IC Time Burden (Hours)	120	100	20
Annual IC Cost Burden (Dollars)	0	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.

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