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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.