View Information Collection (IC)

View Information Collection (IC)

IC Title:	NLM Gateway Website Mobile User Survey	Agency IC Tracking Number:

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
Form and Instruction	1	survey	NLM Gateway Survey Instrument_Mobile Device.docx		Yes	Yes	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	500	0	0	0	0	0
Annual IC Time Burden (Hours)	42	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
NLM Gateway survey request_Mobile Device	NLM Gateway survey request_Mobile Device.doc	04/29/2009
Mini Supporting Statement_NLM Gateway Mobile Device	Mini Supporting Statement_NLM Gateway Mobile Device.docx	04/29/2009

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