View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT	Agency IC Tracking Number:	30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT

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	30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT	30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT	30916 Q_NIDDK Mobile v2_updated 02-15-2022_DOT.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: 100	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	100	0	100	0	0	0
Annual IC Time Burden (Hours)	4	0	4	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1090-0008 -NIDDK Mobile Browse V2- Clearance Request Form_IA#30916	1090-0008 -NIDDK Mobile Browse V2- Clearance Request Form_IA#30916.pdf	04/12/2022
1090-0008 Survey Mapping Document (NIDDK Mobile Browse V2) IA 30916	1090-0008 Survey Mapping Document (NIDDK Mobile Browse V2) IA 30916.xlsx	04/12/2022

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