Information Collection

Positive Pressure Ventilation Survey

IC 190469 under ICR 200908-0990-008 · OMB 0990-0341.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Positive Pressure Ventilation Survey	Form and Instruction
1 Positive Pressure Ventilation Survey Vent Survey Instrument _OMB 8.26.2009.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form?

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	Positive Pressure Ventilation Survey	Vent Survey Instrument _OMB 8.26.2009.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,678

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	5,678	5,678
Annual IC Time Burden (Hours)	7,098	7,098
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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