Email Invite Fluoride Testing data

[NCCDPHP] National Surveillance of Community Water Systems and Corresponding Populations with the Recommended Fluoridation Level

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Email Invite Fluoride Testing data	Agency IC Tracking Number:	0920-1319

Is this a Common Form? No		IC Status: Modified

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
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 %

	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

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.