Information Collection

Advance Letter (Att. S-T)

IC 239165 under ICR 202503-0920-002 · OMB 0920-0822.

Documents and Forms

Document Name Document Type
Form 0920-0822 Advance Letter (Att. S-T) Form and Instruction
Form 0920-0822 Advance Letter (Att. S-T) Form and Instruction
0920-0822 Att S_Advance Letters_English Att S_Advance Letters_English.docx Form and Instruction
0920-0822 Att S_Advance Letters_English Att S_Advance Letters_English.docx Form and Instruction
0920-0822 Att T_Advance Letters_Spanish Att T_Advance Letters_Spanish.docx Form and Instruction
0920-0822 Att T_Advance Letters_Spanish Att T_Advance Letters_Spanish.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Advance Letter (Att. S-T)	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Unchanged

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	0920-0822	Att S_Advance Letters_English	Att S_Advance Letters_English.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-0822	Att T_Advance Letters_Spanish	Att T_Advance Letters_Spanish.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 134,933	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	134,933	134,933
Annual IC Time Burden (Hours)	2,249	2,249
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.