View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	All of Us Community & Participant Engagement Framework Survey	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	Pre and Post Survey	Researcher Engagement Pre-and Post-Event Survey Questions 6.6.2024.docx		Yes	Yes	Fillable Fileable
Form	1	Survey	Community and Participant Engagement Framework Survey Questions.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: 2,400	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	2,400	0	2,400	0	0	0
Annual IC Time Burden (Hours)	126	0	126	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Template	Sub-Study All of Us Pre Post Event Surveys 6.6.2024.docx	06/07/2024
Email Correspondence	Email for survey & Script 6.6.24.docx	06/07/2024

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