Human Resource Manager

Wellness Program Study

Documents and Forms

Document Name Document Type
RAND Survey Instrument final 7-29-11_OMB.DOCX Other-survey
RAND Survey Instrument final 12-20-2011 clean.docx Other-Survey

Information Collection (IC) Details

IC Title:	Human Resource Manager	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-survey			RAND Survey Instrument final 7-29-11_OMB.DOCX		No	No	Fillable Printable
Other-Survey			RAND Survey Instrument final 12-20-2011 clean.docx		No		Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	1,500	1,500
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.