Information Collection

Record of time spent oudoors

IC 240029 under ICR 202312-0920-007 · OMB 0920-1316.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1316 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1316 Record of time spent oudoors Form
0920-1316 Reocrd of time spent outdoors Att11 Record of time spent outdoors 20200211.docx Form
0920-1316 Reocrd of time spent outdoors Att11 Record of time spent outdoors 20200211.docx Form
0920-1316 Record of Time Spent Outdoors - Revised 10JUL2023 0929-1316 Change Request Att8 Record time outdoors 06212023.docx Form
0920-1316 Record of Time Spent Outdoors - Revised 10JUL2023 0929-1316 Change Request Att8 Record time outdoors 06212023.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Record of time spent oudoors	Agency IC Tracking Number:	0920-1316

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
Form	0920-1316	Reocrd of time spent outdoors	Att11 Record of time spent outdoors 20200211.docx		No		Paper Only
Form	0920-1316	Record of Time Spent Outdoors - Revised 10JUL2023	0929-1316 Change Request Att8 Record time outdoors 06212023.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title: Epidemiologic studies and surveillance of disease problems.	FR Citation: 57 FR 62812

Number of Respondents: 67	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	335	0	335
Annual IC Time Burden (Hours)	56	0	56
Annual IC Cost Burden (Dollars)	0	-1,363	1,363

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.