Information Collection

2008 Nsmhtf

IC 7528 under ICR 200801-0930-002 · OMB 0930-0119.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0119 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Questionnaire 2008 NSMHTF	Form and Instruction
Questionnaire Questionnaire 2008 NSMHTF - Questionnaire.pdf	Form and Instruction
2008 NSMHTF - Attachments.pdf Attachments	IC Document

IC Title:

2008 NSMHTF

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
Form and Instruction	Questionnaire	Questionnaire	2008 NSMHTF - Questionnaire.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,610

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,610	-5,080	9,690
Annual IC Time Burden (Hours)	4,610	-9,853	14,463
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachments	2008 NSMHTF - Attachments.pdf	01/02/2008

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