View Information Collection (IC)

View Information Collection (IC)

IC Title:	Hazardous Substances Database (HSDB) Needs Assessment	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	HSDB_Full Survey Screenshots[1].pdf		Yes	Yes	Fillable Fileable

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: 150	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	150	0	0	0	0	0
Annual IC Time Burden (Hours)	50	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
NLM Generic Clearance Request Form_HSDB NA_02 09 12[1]	NLM Generic Clearance Request Form_HSDB NA_02 09 12[1].docx	03/01/2012
NLM Generic Clearance Mini Supporting Statement_HSDB NA[1]	NLM Generic Clearance Mini Supporting Statement_HSDB NA[1].docx	03/01/2012

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