View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	30807 Survey Change Draft-2.11.22	Agency IC Tracking Number:	30807 Survey Change Draft-2.11.22

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	30807 Survey Change Draft-2.11.22	30807 Survey Change Draft-2.11.22	30807 Survey Change Draft-2.11.22.xlsx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,363	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	1,363	0	1,363	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
1090-0008 NIH v2 Clearance Request Form_IA-AMO-SIGNED	1090-0008 NIH v2 Clearance Request Form_IA-AMO-SIGNED.pdf	02/14/2022
1090-0008 Survey Mapping Document NIH v2 Desktop-2.12.22	1090-0008 Survey Mapping Document NIH v2 Desktop-2.12.22.docx	02/14/2022

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