Information Collection

ABES State Level Recruitment Script

IC 244327 under ICR 202206-0920-016 · OMB 0920-0493.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0493 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0493 ABES State Level Recruitment Script	Form and Instruction
0920-0493 ABES States Level Script Att L4_ABES_State-levelRecruitScript.docx	Form and Instruction
0920-0493 ABES States Level Script Att L4_ABES_State-levelRecruitScript.docx	Form and Instruction

IC Title:

ABES State Level Recruitment Script

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
Form and Instruction	0920-0493	ABES States Level Script	Att L4_ABES_State-levelRecruitScript.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
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.