Information Collection

Pretesting/Formative Research for Informing the Development of a National Biorepository

IC 187737 under ICR 200810-0925-002 · OMB 0925-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Pretesting/Formative Research for Informing the Development of a National Biorepository	Form
2 Revised Survey #13_AMENDED_Survey Text_OBBR Biospecimen_3_6_09.doc	Form
3 Final Revised Survey #13_AMENDED_Survey Text_OBBR Biospecimen_3_18_09.doc	Form
1 Word Version of Survey #13_Biospecimen_OBBR SurveyText_12_17_08 OBBR NG.doc	Form
1 PDF - Screen Shots of Survey #13_Biospecimen_Screen shots of survey_10.29.08.pdf	Form
Terms of Clearance.pdf Terms of Clearance	IC Document
#13_Biospecimen Memo for OBBR 12-17-08 NG.doc #13 Memo/Justification	IC Document

IC Title:

Pretesting/Formative Research for Informing the Development of a National Biorepository

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Word Version of Survey	#13_Biospecimen_OBBR SurveyText_12_17_08 OBBR NG.doc	Yes	Yes	Fillable Fileable
Form	1	PDF - Screen Shots of Survey	#13_Biospecimen_Screen shots of survey_10.29.08.pdf	Yes	Yes	Fillable Fileable
Form	2	Revised Survey	#13_AMENDED_Survey Text_OBBR Biospecimen_3_6_09.doc	Yes	Yes	Fillable Fileable
Form	3	Final Revised Survey	#13_AMENDED_Survey Text_OBBR Biospecimen_3_18_09.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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	500	500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
#13 Memo/Justification	#13_Biospecimen Memo for OBBR 12-17-08 NG.doc	12/18/2008
Terms of Clearance	Terms of Clearance.pdf	03/18/2009

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