OMB
.report
Search
Phone script for recruitment of MUH operators - MN, ME, FL
Adoption, Health Impact and Cost of Smoke-Free Multi-Unit Housing Policies
OMB: 0920-1004
IC ID: 204439
OMB.report
HHS/CDC
OMB 0920-1004
ICR 201309-0920-011
IC 204439
( )
Documents and Forms
Document Name
Document Type
Phone script for recruitment of MUH operators - MN, ME, FL
Form and Instruction
Recruitment phone script MN, ME, FL
Att 5A(e) MUH Operator Recruitment Script MNMEFL_9.3.13.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Phone script for recruitment of MUH operators - MN, ME, FL
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
Form and Instruction
none
Recruitment phone script MN, ME, FL
Att 5A(e) MUH Operator Recruitment Script MNMEFL_9.3.13.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
6
0
6
0
0
0
Annual IC Time Burden (Hours)
1
0
1
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.