View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Annual CounterACT Symposium Registration (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 and Instruction	1	Registration	CounterACT2023Symposium_Registration Site Screenshots_v2.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service	FR Citation: 67 FR 60742

Number of Respondents: 250	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	250	0	250	0	0	0
Annual IC Time Burden (Hours)	42	0	42	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Template	CounterACT2023Symposium_OMB #0925-0740_exp. 9.2025 Final.docx	06/06/2023
Invitation	CounterACT2023Symposium_RegistrationInvite.docx	06/06/2023
Recruitment Materials	Save_the _date_2023 CounterACT symposium.pdf	06/06/2023

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