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Advance Letter (Att. S-T)
[NCIPC] The National Intimate Partner and Sexual Violence Survey (NISVS)
OMB: 0920-0822
IC ID: 239165
OMB.report
HHS/CDC
OMB 0920-0822
ICR 202311-0920-009
IC 239165
( )
Documents and Forms
Document Name
Document Type
Form 0920-0822
Advance Letter (Att. S-T)
Form and Instruction
0920-0822 Att S_Advance Letters_English
Att S_Advance Letters_English.docx
Form and Instruction
0920-0822 Att S_Advance Letters_English
Att S_Advance Letters_English.docx
Form and Instruction
0920-0822 Att T_Advance Letters_Spanish
Att T_Advance Letters_Spanish.docx
Form and Instruction
0920-0822 Att T_Advance Letters_Spanish
Att T_Advance Letters_Spanish.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Advance Letter (Att. S-T)
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
Unchanged
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
0920-0822
Att S_Advance Letters_English
Att S_Advance Letters_English.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-0822
Att T_Advance Letters_Spanish
Att T_Advance Letters_Spanish.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
134,933
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
134,933
0
0
0
0
134,933
Annual IC Time Burden (Hours)
2,249
0
0
0
0
2,249
Annual IC Cost Burden (Dollars)
0
0
0
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.