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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Recruitment Study Materials--Main: Follow-up 1, 2, and 3 Longitudinal respondents
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
Other-ENGLISH Postcards
Attachment 3. Postcards ExPECTT 3_BL_FU.docx
No
Paper Only
Other-SPANISH Postcards
Attachment 3. Postcards ExPECTT 3_BL_FU_KRC_SPA_FINAL.docx
No
Printable Only
Other-ENGLISH Incentive Thank You Letter
Attachment 14. Incentive Thank You Letter ExPECTT 3_BL_FU.docx
No
Paper Only
Other-SPANISH Incentive Thank You Letter
Attachment 14a. Incentive Thank You Letter ExPECTT 3_BL_FU_SPA_FINAL.docx
No
Paper Only
Other-ENGLISH Email Reminder
Attachment 15. Email_reminders_ExPECTT3_BL_FU.docx
Yes
No
Printable Only
Other-SPANISH Email Reminder
Attachment 15. Email_reminders_ExPECTT3_BL_FU_SPA_FINAL.docx
Yes
No
Printable Only
Other-ENGLISH Eligibility Email
Attachment 19. Eligibility Email ExPECTT 3_Baseline and FU2.docx
Yes
No
Printable Only
Other-SPANISH Eligibility Email
Attachment 19. Eligibility Email ExPECTT 3_Baseline and FU2 Rep_SPA_FINAL.docx
Yes
No
Printable Only
Other-ENGLISH Eligibility Letter
Attachment 20. Eligibility Letter ExPECTT 3_Baseline and FU2 Rep.docx
No
Paper Only
Other-SPANISH Eligibility Letter
Attachment 20. Eligibility Letter ExPECTT 3_Baseline and FU Rep_SPA_FINAL.docx
No
Paper Only
Other-ENGLISH Questions and Answers about the Health and Media Study
Attachment 21. Questions and Answers about the Health and Media Study_BL_FU .docx
Yes
No
Printable Only
Other-SPANISH Questions and Answers about the Health and Media Study
Attachment 21. Questions and Answers about the Health and Media Study_BL_FU_SPA_FINAL.docx
Yes
No
Printable Only
Other-ENGLISH Panel Maintenance Letter
Attachment 24 (New). Panel Maintenance ExPECTT 3_FU.docx
No
Paper Only
Other-SPANISH Panel Maintenance Letter
Attachment 24 (New). Panel Maintenance ExPECTT 3_FU_SPA_FINAL.docx
No
Paper Only
Other-ENGLISH Reminder Letters
Attachment 25 (New). Reminder Letters FU Waves.docx
No
Paper Only
Other-SPANISH Reminder Letters
Attachment 25 (New). Reminder Letters FU_SPA_FINAL.docx
No
Paper Only
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:
24,660
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
24,660
0
0
24,660
0
0
Annual IC Time Burden (Hours)
4,685
0
0
4,685
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.