View Information Collection (IC)

View Information Collection (IC)

IC Title:	The Research and Development Survey (RANDS 4 -- Telephone Sample)	Agency IC Tracking Number:	0920-0222-20GL

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-WORD			Att1-RANDS Questionnaire 1.16.2020.docx		No		Paper Only
Other-WORD			Att2-RANDS Telephone Intro Script.docx		Yes	Yes	Fillable Fileable
Other-WORD			Att 3-RANDS Non-Disclosure Affidavit.docx		No		Fillable Printable

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: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 85 %

	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	1,200	0	1,200	0	0	0
Annual IC Time Burden (Hours)	400	0	400	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
10-Day Letter	RANDS 10 Day Letter 1.17.2020.docx	01/27/2020

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