Information Collection

IDRWG Investigator Survey

IC 192703 under ICR 201004-0925-001 · OMB 0925-0615.

Documents and Forms

Document Name Document Type
Form 1 IDRWG Investigator Survey Form
1 IDRWG Investigator Survey Attachment 1 IDRWG Investigator SURVEY.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	IDRWG Investigator Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	IDRWG Investigator Survey	Attachment 1 IDRWG Investigator SURVEY.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	400,000	400,000

Documents for IC

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.