Information Collection

1 year Resident Physician

IC 185757 under ICR 200807-0990-001 · OMB 0990-0332.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0990 1 year Resident Physician	Form
0990 Y1R SBMA 0990-Evaluation of AfghanistanAppendix F_Y1R SBM_with cover June25.doc	Form
0990-evaluation of AfghanistanAppendix B_20 questions_with cover June25.doc 0990-evaluation of AfghanistanAppendix B_20 questions_with cover June25	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	0990	Y1R SBMA	0990-Evaluation of AfghanistanAppendix F_Y1R SBM_with cover June25.doc		No	No	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 31

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 Agency Discretion
Annual Number of Responses for this IC	31	31
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0990-evaluation of AfghanistanAppendix B_20 questions_with cover June25	0990-evaluation of AfghanistanAppendix B_20 questions_with cover June25.doc	07/10/2008

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