View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	2021 NLM Survey of HMD Online Resources (NLM)	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	2021 NLM HMD online Resources survey	2021 NLM Survey of HMD Online Resources_ Survey Instrument.pdf		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: 800	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	800	0	800	0	0	0
Annual IC Time Burden (Hours)	133	0	133	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
2021 NLM Survey of HMD Online Resources (NLM)	NLM Fast Track ICR_2021 NLM Survey of HMD Online Resources-revPCB.docx	03/17/2021

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