Information Collection

State Level Recruitment Script

IC 7087 under ICR 202312-0920-008 · OMB 0920-0621.

Documents and Forms

Document Name Document Type
Form 0920-0621 State Level Recruitment Script Form and Instruction
0920-0621 State Level Recruitment Script 0621 NYTS Att D2 State Recruitment Script final.docx Form and Instruction
0920-0621 State Level Recruitment Script 0621 NYTS Att D2 State Recruitment Script final.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Level Recruitment Script	Agency IC Tracking Number:

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 and Instruction	0920-0621	State Level Recruitment Script	0621 NYTS Att D2 State Recruitment Script final.docx	N/A	No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 42	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	42	5	37
Annual IC Time Burden (Hours)	21	2	19
Annual IC Cost Burden (Dollars)	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.