View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Registration for Status Epilepticus after Benzodiazepines: Seizures and Improving Long-term Outcomes Workshop (2023) (NINDS)	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	2023 SEB-SILO Registration Screenshots.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: 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)	17	0	17	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
sub-study for SEB-SILO	2023 SEB-SILO 0925-0740_exp09_2025_substudy_submitted (1).docx	10/21/2022
email invite	2023 SEB-SILO SaveTheDate Invitation (1).docx	10/21/2022

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