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View Information Collection (IC)

Survey of Pet Owners Encountering Ticks (PETS) in Lyme Disease Endemic Areas 0920-17BCT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Pet Owners Encountering Ticks (PETs) Survey Attachment 1_PETsSurvey.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0136  57 FR 62812

500 0
   
Individuals or Households
 
   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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 250 0 250 0 0 0
Annual IC Cost Burden (Dollars) 5,965 0 5,965 0 0 0

Title Document Date Uploaded
Supporting Statement Part A SS A_GenIC_PetsSurvey_10052017.docx 10/05/2017
Supporting Statement Part B SS B_GenIC_PetsSurvey_10052017.docx 10/05/2017
Introductory Postcard Attachment 2_Introductory Postcard.pdf 10/05/2017
Veterinary Colleague Recruitment Letter Attachment 3_Vet Recruitment Letter_v1_080817.docx 10/05/2017
Thank You Letter Attachment 4_Thank You Letter_v1_080117.doc 10/05/2017
IRB Exemption Approval Attachment 5_7049 Exempt Granted Memo_091717.docx 10/05/2017
Withdrawal Letter Attachment 6_Withdrawal Letter_v1_080117.doc 10/05/2017
Social Media Advertisement Attachment 7_Social Media advertisement.pdf 10/05/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.