View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Write the Vision Program Formative Research (NEI)	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 and Instruction	1	NEI WTV screener	Attachment 1- NEI_Write the Vision (WTV)_Screener_OMB v2.docx		No		Paper Only
Form and Instruction	2	NEI WTV Moderators Guide	Attachment 2- NEI_Write the Vision (WTV)_Moderators Guide_OMB v2.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: 16	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	16	0	16	0	0	0
Annual IC Time Burden (Hours)	57	0	57	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
email invite	Attachment 3- NEI_Write the Vision (WTV)_Email Language Template_OMB.docx	08/26/2021
Write the Vision sub-study	NEI_Write the Vision_ (WTV)_NCI's Formative 0046 Mini Supporting Statement v2.docx	08/26/2021

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