Information Collection

Sickle Cell Disease and Newborn Screening Program (SCDNBSP) Evaluation - MDP SCT Questioniare

IC 197488 under ICR 201104-0915-003 · OMB 0915-0344.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0344 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Sickle Cell Disease and Newborn Screening Program (SCDNBSP) Evaluation - MDP SCT Questioniare	Form and Instruction
ATTACH_D_NCEC_SCDNBSP_Instruments_11_14_11 revision.docx	Instruction
2 Sickle Cell Trait ATTACHCNCEC_SCDNBSP_Instruments_revised_11_14_11.docx	Form and Instruction

IC Title:

Sickle Cell Disease and Newborn Screening Program (SCDNBSP) Evaluation - MDP SCT Questioniare

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	2	Sickle Cell Trait	ATTACHCNCEC_SCDNBSP_Instruments_revised_11_14_11.docx		Yes	Yes	Fillable Fileable
Instruction			ATTACH_D_NCEC_SCDNBSP_Instruments_11_14_11 revision.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,400	1,400
Annual IC Time Burden (Hours)	420	420
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.