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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Host Institutions/Applicants
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
2
Applicants
FINAL Customer Satisfaction Survey for Applicant 03-15-2011[1].docx
Yes
Yes
Paper Only
Form and Instruction
1
Host
FINAL Customer Satisfaction Survey for Host Institutions 03-15-2011.docx
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
188
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
188
0
0
0
0
0
Annual IC Time Burden (Hours)
47
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FINAL Mini Support Statement for Survey for Host Institutions 03-04-2011 OMB
FINAL Mini Support Statement for Survey for Host Institutions 03-04-2011 OMB.docx
03/24/2011
FINAL Mini Support Statement for Survey for Applicants 03-04-2011 OMB
FINAL Mini Support Statement for Survey for Applicants 03-04-2011 OMB.docx
03/24/2011
NLM Generic Clearance Request Form_Survey for Applicants 03-04-2011 OMB
NLM Generic Clearance Request Form_Survey for Applicants 03-04-2011 OMB.doc
03/28/2011
NLM Generic Clearance Request Form_Survey for Host Institutions Cover Memo 03-04-2011 OMB
NLM Generic Clearance Request Form_Survey for Host Institutions Cover Memo 03-04-2011 OMB.doc
03/28/2011
Response to Questions B3 and B4 - survey for applicants
Response to Questions B3 and B4 - survey for applicants.docx
04/06/2011
Response to Questions B3 and B4 - survey for host institutions
Response to Questions B3 and B4 - survey for host institutions.docx
04/06/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.