Recruitment

Medical Monitoring Project

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0740 can be found here:

Documents and Forms

Document Name Document Type
Recruitment Form and Instruction
Recruitment script Att 8c Recruitment Script Facility.docx Form and Instruction
Recruitment script Att 8c Recruitment Script Facility.docx Form and Instruction
Att 8a Model Recruitment Letter.docx Model recruitment letter 2017 IC Document
Att 8a Model Recruitment Letter.docx Model recruitment letter 2017 IC Document
Att 8b Recruitment Script Project Staff.docx Recruitment script - project staff IC Document
Att 8b Recruitment Script Project Staff.docx Recruitment script - project staff IC Document

Information Collection (IC) Details

IC Title:	Recruitment	Agency IC Tracking Number:	0920-0740

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 script	Att 8c Recruitment Script Facility.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 970	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	970	-6,790	7,760
Annual IC Time Burden (Hours)	81	-307	388
Annual IC Cost Burden (Dollars)	2,027	-7,650	9,677

Documents for IC

Title	Document	Date Uploaded
Model recruitment letter 2017	Att 8a Model Recruitment Letter.docx	01/19/2021
Recruitment script - project staff	Att 8b Recruitment Script Project Staff.docx	01/19/2021

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