Information Collection

Pre-Test

IC 198002 under ICR 201106-0910-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Antiparastic Drug Survey - 4_15_2011.pdf	Other-Antiparasitic Drug Survey
11-020V exemption.pdf	Other-Request For Exemption from RIH

IC Title:

Pre-Test

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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-Antiparasitic Drug Survey			Antiparastic Drug Survey - 4_15_2011.pdf		Yes	No	Printable Only
Other-Request For Exemption from RIHSC Review			11-020V exemption.pdf		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	2	2
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.