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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Risk Reduction for Sudden Infant Death Syndrome (SIDS) and Other Sleep-Related Causes of Infant Death: Continuing Education Activity for Nurses (NICHD)
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
1
Nurses CE Pre-Test
0925-0701_Substudy_Nurses CE_pre test.pdf
Yes
Yes
Fillable Fileable
Form
2
Nurses CE Post Test
0925-0701_Substudy_Nurses CE_post test.pdf
Yes
Yes
Fillable Fileable
Form
3
Nurses CE Satisfaction Evaluation
0925-0701_Substudy_Nurses CE_Satisfaction Evaluation.pdf
Yes
Yes
Fillable Fileable
Form
4
Nurses CE Follow-Up survey
0925-0701_Substudy_Nurses CE_Follow-Up Survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
09-25-0200 “Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD
FR Citation:
67 FR 60742
Number of Respondents:
20,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
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
20,000
0
20,000
0
0
0
Annual IC Time Burden (Hours)
10,332
0
10,332
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mini SSA Nurses CE
0925-0701_Substudy_Nurses CE_ MiniSSA. 8.8.18 Final (1).docx
10/26/2018
Mini SSB Nurses CE
CE Activity_2018 Mini SSB - rev. 4.25.18.docx
10/26/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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