Information Collection

OBGYN Survey revised copy with question updates

IC 7161 under ICR 200706-0920-013 · OMB 0920-0692.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0692 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OBGYN survey clean copy 5-15-07.doc	Instruction

IC Title:

OBGYN Survey revised copy with question updates

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Instruction			OBGYN survey clean copy 5-15-07.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.