Information Collection

Laboratory Practices Questionnaire (LPQ)

IC 191810 under ICR 201001-0920-002 · OMB 0920-0595.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4 Laboratory Practices Questionnaire (LPQ)	Form and Instruction
4 Laboratory Practices Questionnaire (LPQ) 0920-0595_att4_LPQ Worksheet.doc	Form and Instruction
Attachment 4b_LPQRT Cover letter-pswrdltr.doc Attachment 4b_LPQRT Cover letter-pswrdltr	IC Document
Attachment 4c_LPQ Report.pdf Attachment 4c_LPQ Report	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 and Instruction	4	Laboratory Practices Questionnaire (LPQ)	0920-0595_att4_LPQ Worksheet.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 330

Number of Respondents for Small Entity: 30

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
Annual Number of Responses for this IC	330	330
Annual IC Time Burden (Hours)	165	165
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 4b_LPQRT Cover letter-pswrdltr	Attachment 4b_LPQRT Cover letter-pswrdltr.doc	12/18/2009
Attachment 4c_LPQ Report	Attachment 4c_LPQ Report.pdf	12/18/2009

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