Follow-up Call Phone Script

The Community Choice Demonstration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0337 can be found here:

Documents and Forms

Document Name Document Type
Attachment K.2_The Child Assessment and The Obesity & Type II Diabetes Risk Assessment_Follow-up Phone Call Script.docx Other-Follow-up Call Phone Script
Attachment K.2_The Child Assessment and The Obesity & Type II Diabetes Risk Assessment_Follow-up Phone Call Script.docx Other-Follow-up Call Phone Script
Attachment K.2_The Child Assessment-Obesity & Type II Diabetes Risk Assessment_Phone Call Script - CLEAN.docx Other-Follow-up Call Phone Script
Attachment K.2_The Child Assessment-Obesity & Type II Diabetes Risk Assessment_Phone Call Script - CLEAN.docx Other-Follow-up Call Phone Script

Information Collection (IC) Details

IC Title:	Follow-up Call Phone 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
Other-Follow-up Call Phone Script			Attachment K.2_The Child Assessment and The Obesity & Type II Diabetes Risk Assessment_Follow-up Phone Call Script.docx		Yes	Yes	Fillable Fileable
Other-Follow-up Call Phone Script			Attachment K.2_The Child Assessment-Obesity & Type II Diabetes Risk Assessment_Phone Call Script - CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,285	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,570	2,570
Annual IC Time Burden (Hours)	334	334
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.