Information Collection

District Recruitment Script

IC 185552 under ICR 202510-0910-002 · OMB 0910-0932.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0932 NYTS Att E2 District Recruitment Script final.docx	Other-District Recruitment Script
0932 NYTS Att E2 District Recruitment Script final.docx	Other-District Recruitment Script

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-District Recruitment Script				N/A	No		Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 384

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	384	76	308
Annual IC Time Burden (Hours)	192	38	154
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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