View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Registration for NIH DR2 Seattle Workshop (NIEHS)	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	Registration	Seattle Registration Screenshots 2 (1).docx		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: 150	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	150	0	150	0	0	0
Annual IC Time Burden (Hours)	5	0	5	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
sub study for UW DR2 Workshop	0925-0740 DR2 Seattle Conference Registration clearance template_DR2_07062022.docx	07/11/2022
flyer	UW DR2 Training Workshop Save the Date_V6 Registration.pdf	07/11/2022
email invite	Seattle Email announcement.docx	07/11/2022

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