View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Reference Labs	Agency IC Tracking Number:	14VO

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	none				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: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	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	55	0	55	0	0	0
Annual IC Time Burden (Hours)	9	0	9	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Word Data Collection Instrument		04/24/2014
Satisfaction Report		04/24/2014
CDC IDLs List		04/24/2014
Email Invite		04/24/2014
APHL eUpdate		04/24/2014
Email Reminder Nonresponders		04/24/2014
APHL eUpdate Reminder		04/24/2014
SSA		04/24/2014
SSB		04/24/2014

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

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