Information Collection

Screener Survey: Phone

IC 248320 under ICR 202605-1018-001 · OMB 1018-0088.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
FHWW 2027 Screener Questionnaire 4.23.26.docx Other-Screener Survey
1 FHWW screener invitation letter1 w-Notices_updated.docx Other-FHWW Screener Invitation Lette
2 FHWW screener postcard1 w-Notices_DTP Formatted.pdf Other-FHWW Screener Postcard
3 FHWW screener letter2 w-Notices_updated.docx Other-FHWAR Screener Letter
4 FHWW screener postcard2 w-Notices_DTP Formatted.pdf Other-FHWAR Screener Postcard-2

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Screener Survey Yes Yes Fillable Printable
Other-FHWW Screener Invitation Letter No   Paper Only
Other-FHWW Screener Postcard No   Paper Only
Other-FHWAR Screener Letter No   Paper Only
Other-FHWAR Screener Postcard-2 No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,100 0 0 3,100 0 1,000
Annual IC Time Burden (Hours) 1,503 0 0 1,253 0 250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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