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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Revised_#3 and #4 Bundled Sub-studies for Interviews-Focus Groups for Nursing Education (#3) and Message testing for Genomics and Genetics (#4)
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
#3_Nurses Study_Attach A3-5, A7, A9 Discuss Guides
#3_Rev_Nurses Study_Attach A3, A4, A5, A7, A9 Disc Guides.docx
Yes
Yes
Printable Only
Form and Instruction
2
#4_Rev_Attach B2, B3, B4, and B5_Genomics
#4_Rev_Attach B2, B3, B4, and B5_Genomics.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
09-25-0156, Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD
FR Citation:
67 FR 60743
Number of Respondents:
211
Number of Respondents for Small Entity:
20
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
30 %
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
211
0
0
0
0
0
Annual IC Time Burden (Hours)
184
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Revised_Memo to OMB_Key To Bundled Pkg
Revised_Memo to OMB_Key To Bundled Pkg.doc
10/05/2010
GC_Summary Sub-Study Form_0925-0046-03 and -04
GC_Summary Sub-Study Form_0925-0046-03 and -04.doc
10/05/2010
#4_Rev_Genomics_Justif Memo & Attach B1, B6 and B7
#4_Rev_Genomics_Justif Memo & Attach B1, B6 and B7.doc
10/05/2010
#3_Rev_Nurses Study_Justif Memo & Attach A1, A2, A6 & A8
#3_Rev_Nurses Study_Justif Memo & Attach A1, A2, A6 & A8.doc
10/05/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.