Information Collection

Rapid Response Survey for "Negative Pressure Wound Therapy Device Used in the Home Environment"

IC 191688 under ICR 200710-0910-002 · OMB 0910-0500.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0500 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B.doc	Other-Professional Orginizations
Attachment A Wound Vac Survey.doc	Other-Survey Questions
Wound Vac OMB justification.doc Memo	IC Document

IC Title:

Rapid Response Survey for "Negative Pressure Wound Therapy Device Used in the Home Environment"

Agency IC Tracking Number:

IC Status: New

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
Other-Professional Orginizations			Attachment B.doc		No	No	Printable Only
Other-Survey Questions			Attachment A Wound Vac Survey.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,020

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	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	5,020	0	0	0	0	0
Annual IC Time Burden (Hours)	2,510	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo	Wound Vac OMB justification.doc	12/22/2009

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