View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	ASPR TRACIE Webinar Polling	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
Other-Polling Consent Guide			Attachment B_Webinar Polling_Consent Guide_For ASPR TRACIE Review.docx		Yes	Yes	Fillable Fileable
Other-survey			0990-0379 F_T Generic Attachment A_Webinar Polling_Polling Instrument_For ASPR TRACIE.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:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	6,000	0	6,000	0	0	0
Annual IC Time Burden (Hours)	300	0	300	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
memo	0990-0379 FastTrack Generic Clearance Submission_Webinar Polling_For ASPR TRACIE.docx	11/22/2019

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