Information Collection

Invitation to Participate in the Covid-19 Impact Assessment

IC 244371 under ICR 202011-0920-014 · OMB 0920-1171.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1171 can be found here:

Documents and Forms

Document Name Document Type
ITEM #7 Appendix A.1_COV-IMP_ Invitation letter.docx Other-Invitation Letter

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Invitation to Participate in the Covid-19 Impact Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-Invitation Letter			ITEM #7 Appendix A.1_COV-IMP_ Invitation letter.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 81 FR 9200

Number of Respondents: 1,330	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,330	1,330
Annual IC Time Burden (Hours)	222	222
Annual IC Cost Burden (Dollars)	5,700	5,700

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.