Comparison Participant Recruitment Guide

COMMUNITY EVALUATION OF THE NATIONAL DIABETES EDUCATION PROGRAMS DIABETES HEALTHSENSE WEBSITE

Documents and Forms

Document Name Document Type
Form 10 Comparison Participant Recruitment Guide Form and Instruction
10 Comparison Participant Recruitment Guide 3G - NDEP DHS Recruitment Guide_071113_OMB30.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Comparison Participant Recruitment Guide	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
Form and Instruction	10	Comparison Participant Recruitment Guide	3G - NDEP DHS Recruitment Guide_071113_OMB30.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	3	3
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.