View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Individual Assessments of Knowledge of the Expanded Access and Compassionate Use Programs Among Stakeholders	Agency IC Tracking Number:	OC

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-Survey			Moderator Guide.pdf		No		Paper Only
Other-Consent Form			Consent Form.docx		No		Paper Only
Other-Interview Guide			Interview Guide.docx		No		Paper Only

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: 120	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

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	120	0	120	0	0	0
Annual IC Time Burden (Hours)	160	0	160	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
OMB approval memo	0497 OMB Approval Memo EA and CU Programs.doc	12/15/2017

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