View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Site Recruitment and Training
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2 Yes Yes Fillable Fileable

Health Health Care Services

 

700 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 700 0 700 0 0 0
Annual IC Time Burden (Hours) 2,205 0 2,205 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 13 Receptionist Recruitment Script_English_TChinese 12/26/2019
Attachment 13 Receptionist Recruitment Script_Spanish 12/26/2019
Attachment 13 Receptionist Recruitment Script_Vietnamese 12/26/2019
Attachment 13 Receptionist Recruitment Script_Tagalog 12/26/2019
Attachment 13 Interviewer Recruitment Script final_TChinese 12/26/2019
Attachment 13 Interviewer Recruitment Script final_Spanish 12/26/2019
Attachment 13 Interviewer Recruitment Script final_Tagalog 12/26/2019
Attachment 13 Interviewer Recruitment Script final_Vietnamese 12/26/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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