View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	NLM Traveling Exhibition Host Venue Report	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	Traveling Exhibition Host Venue survey	NLM Traveling Exhibition Host Venue Report Instrument_12_19_2022.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	follow up call script	Traveling Exhition Follow-up Call Script.docx		No		Paper Only

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: 900	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	900	0	900	0	0	0
Annual IC Time Burden (Hours)	234	0	234	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
sub-study for Traveling Exhibition Host survey	NLM Traveling Exhibition Host Venue Simple form 0925-0766 (1).docx	12/19/2022
email	Traveling Exhibition Email (1).docx	12/19/2022

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