Information Collection

Email Invite Fluoride Testing data

IC 239186 under ICR 202312-0920-006 · OMB 0920-1319.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1319 Att 2d Email invitation_fluoride testing.docx	Other-Email to States to Invite them
1319 Att 2d Email invitation_fluoride testing.docx	Other-Email to States to Invite them

IC Title:

Agency IC Tracking Number:

0920-1319

Is this a Common Form? No

IC Status: Modified

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 to States to Invite them to submit Fluoride Testing Data			1319 Att 2d Email invitation_fluoride testing.docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33

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	Previously Approved
Annual Number of Responses for this IC	33	33
Annual IC Time Burden (Hours)	908	908
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.