Appendix H: Telephone Screener for Solar Cell

Solar Cell: A Mobile UV Manager for Smart Phones (NCI)

Documents and Forms

Document Name Document Type
Form 1 Appendix H: Telephone Screener for Solar Cell Form and Instruction
1 Screener Appen_G_TelephoneScreener_162012.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Appendix H: Telephone Screener for Solar Cell	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	1	Screener	Appen_G_TelephoneScreener_162012.docx		No	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,875	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	1,875	1,875
Annual IC Time Burden (Hours)	63	63
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.