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Emergency Care First-Responders, Physicians, Other Health Care Providers
NLM Lost People-Finder System
OMB: 0925-0612
IC ID: 191875
OMB.report
HHS/NIH
OMB 0925-0612
ICR 201005-0925-005
IC 191875
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0612 can be found here:
2016-06-23 - Extension without change of a currently approved collection
2013-06-25 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
iPhone Splash Screen Shot.pdf
Other-Screen Shot
iPhone App About Screen.pdf
Other-screen shot
iPhone User Notice Screen Shot.pdf
Other-Screen Shot
iPhone Screen for Data Entry for Emergency Worker.pdf
Other-screen shot
iPhone Screen Shot with collected info for Reunification Website.pdf
Other-screen shot
iPhone Screen Shot Burden Statement.pdf
iPhone Screen Shot Burden Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Emergency Care First-Responders, Physicians, Other Health Care Providers
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Other-Screen Shot
iPhone Splash Screen Shot.pdf
Yes
Yes
Paper Only
Other-screen shot
iPhone App About Screen.pdf
Yes
Yes
Paper Only
Other-Screen Shot
iPhone User Notice Screen Shot.pdf
Yes
Yes
Paper Only
Other-screen shot
iPhone Screen for Data Entry for Emergency Worker.pdf
Yes
Yes
Paper Only
Other-screen shot
iPhone Screen Shot with collected info for Reunification Website.pdf
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Emergency Response
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
50,000
0
0
0
0
50,000
Annual IC Time Burden (Hours)
4,000
0
0
0
0
4,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
iPhone Screen Shot Burden Statement
iPhone Screen Shot Burden Statement.pdf
05/05/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.