Information Collection

Nitrc

IC 186208 under ICR 200806-0925-002 · OMB 0925-0486.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NITRC	Form and Instruction
1 survey NITRC 2101-01 Web site User Satisfaction Survey Instrument.doc	Form and Instruction
NITRC 2101-01 memo.doc NITRC 2101-01 memo	IC Document
NITRC_2101_01_User satisfaction survey OMB Generic Clearance Mini Supporting Statement.doc NITRC_2101_01_User satisfaction survey OMB Generic Clearance Mini Supporting Statement	IC Document
NITRC-2101-01abstract.doc NITRC-2101-01abstract	IC Document

IC Title:

NITRC

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
Form and Instruction	1	survey	NITRC 2101-01 Web site User Satisfaction Survey Instrument.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

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	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	1,200	0	0	0	0	0
Annual IC Time Burden (Hours)	100	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
NITRC 2101-01 memo	NITRC 2101-01 memo.doc	08/15/2008
NITRC_2101_01_User satisfaction survey OMB Generic Clearance Mini Supporting Statement	NITRC_2101_01_User satisfaction survey OMB Generic Clearance Mini Supporting Statement.doc	08/15/2008
NITRC-2101-01abstract	NITRC-2101-01abstract.doc	08/15/2008

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