Recruitment of MUH Operators in LA County

Adoption, Health Impact and Cost of Smoke-Free Multi-Unit Housing Policies

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1004 can be found here:

Documents and Forms

Document Name Document Type
Recruitment of MUH Operators in LA County Form and Instruction
Recruitment Script for MUH Operators in LA County Att 4A_MUH Operator Recruitment Script LA.docx Form and Instruction
Att 4A-1_Letter to Property Management.docx Att 4A-1 Letter to Property Manager IC Document

Information Collection (IC) Details

IC Title:	Recruitment of MUH Operators in LA County	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	none	Recruitment Script for MUH Operators in LA County	Att 4A_MUH Operator Recruitment Script LA.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 173	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	173	173
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att 4A-1 Letter to Property Manager	Att 4A-1_Letter to Property Management.docx	09/24/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.