Information Collection

National Library Medicine Reader Service Document Request Form

IC 111406 under ICR 198410-0925-002 · OMB 0925-0169.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0169 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	NATIONAL LIBRARY MEDICINE READER SERVICE DOCUMENT REQUEST FORM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NIH 1865-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	200,000	20,000	180,000
Annual IC Time Burden (Hours)	6,000	600	5,400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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