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Lab Technicians - Telephone Survey
Research to Inform the Prevention of Asthma in Healthcare
OMB: 0920-0983
IC ID: 206608
OMB.report
HHS/CDC
OMB 0920-0983
ICR 201304-0920-011
IC 206608
( )
Documents and Forms
Document Name
Document Type
Lab Technicians - Telephone Survey
Form
Telephone Survey
Appendix K_(3).docx.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Lab Technicians - Telephone Survey
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
none
Telephone Survey
Appendix K_(3).docx.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
155
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
155
0
155
0
0
0
Annual IC Time Burden (Hours)
78
0
78
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.