Information Collection

National Survey of Endoscopic Capacity (SECAP)

IC 6990 under ICR 201006-0920-003 · OMB 0920-0539.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0539_Att E1_SECAP II National Survey.doc	Other-WORD
0539_Att E3_National SECAP II Cover Letter.doc 0539_Att E3_National SECAP II Cover Letter	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-WORD			0539_Att E1_SECAP II National Survey.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 480

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	480	-3,070	3,550
Annual IC Time Burden (Hours)	280	-600	880
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0539_Att E3_National SECAP II Cover Letter	0539_Att E3_National SECAP II Cover Letter.doc	05/11/2010

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