View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	United States National Authority for the Containment of Polio (NAC) Webinar Survey and Polling Questions	Agency IC Tracking Number:	0920-1050-22AS

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	0920-1050	U.S. National Authority for the Containment of Polio Webinar Survey	Att1-NAC Webinar Survey and Polling Questions.docx		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: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

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	300	0	300	0	0	0
Annual IC Time Burden (Hours)	60	0	60	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
United States National Authority for the Containment of Polio (NAC) Webinar Survey and Polling Questions	0920-1050-CPR-NAC Webinar Survey and Polling Questions.DOC.docx	11/12/2021

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