View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Aim 2a Cohort Blood Collection Instructions (English/Spanish)	Agency IC Tracking Number:	0920-22GA

Is this a Common Form? No		IC Status: Unchanged

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	0920-22GA	Att 4l_Aim2a Cohort Blood Collection Instructions English	Att_4l_Aim2aCohortBloodCollectionInstructionsEnglish[1].docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-1423	Aim 2a Cohort Blood Collection Instructions_English	Att_4l_Aim2aCohortBloodCollectionInstructionsEnglish_clean.docx	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1423	Aim 2a Cohort Blood Collection Instructions_Spanish	Att 4l_Aim2aCohortBloodCollectionInstructionsSpanish_clean.docx	N/A	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 134	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	134	0	0	0	0	134
Annual IC Time Burden (Hours)	134	0	0	0	0	134
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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