Information Collection

The Conference Of Radiation Control Programs Directors Nationwide Evaluation Of Xray Trends Survey Form

IC 165381 under ICR 197712-0910-003 · OMB 0910-0038.

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Documents and Forms

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Document Name	Document Type

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IC Title:

THE CONFERENCE OF RADIATION CONTROL PROGRAMS DIRECTORS NATIONWIDE EVALUATION OF XRAY TRENDS SURVEY FORM

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FD 2578				No	No
Form	FDA0909				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,500	-4,500	9,000
Annual IC Time Burden (Hours)	2,250	-2,250	4,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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