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View Information Collection (IC)
View Information Collection (IC)
IC Title:
CDC Newborn Screening Quality Assurance Program – Spinal Muscular Atrophy (SMA) Proficiency Testing (PT) Pilot
Agency IC Tracking Number:
0920-20PK
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
n/a
NSQPA Pilot SMA PT Data Reporting Form
AttA - Pilot SMA PT Data Reporting Form.xls
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
NSQAP Pilot SMA PT Program Customer Feedback Form
AttB - Pilot SMA PT Feedback Form.xlsm
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40
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
40
0
40
0
0
0
Annual IC Time Burden (Hours)
9
0
9
0
0
0
Annual IC Cost Burden (Dollars)
457
0
457
0
0
0
Documents for IC
Title
Document
Date Uploaded
Instructions for the SMA PT Pilot
AttC - Pilot SMA PT Instructions.docx
06/12/2020
Email Invitation to Public Health Lab
AttD - Pilot SMA PT Email Invitation.docx
06/12/2020
Email Reminder
AttF - Pilot SMA PT Email Reminder.pdf
06/12/2020
Email Notification to Participating Labs about the PT Packet
AttG - Pilot SMA PT Email Packet.docx
06/12/2020
CDC Determination: IRB Approval is Not Required
AttE - Pilot SMA PT Research Determination.pdf
06/12/2020
Supporting Statement Part A
SMA-PT-SSA.docx
06/15/2020
Supporting Statement Part B
SMA-PT-SSB.docx
06/15/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.