Information Collection

Data specialist/technolgist from public government individuals, private

IC 198313 under ICR 201106-0990-004 · OMB 0990-0377.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0990 Data specialist/technolgist from public government individuals, private	Form
0990 OS Datasource Pg1.png	Form
0990 OS Datasource Pg2.png	Form
0990 OS Datasource Pg3.png	Form
0990 OS PRA V2.png	Form
0990 OS Tools Pg1.png	Form
0990 OS Tools Pg2.png	Form
0990 OS Tools Pg3.png	Form
0990-Data_gov_PIA_for_website_May_2011.docx 0990-Data_gov_PIA_for_website_May_2011	IC Document
0990-Request to Solicit Public Input__Appendix A.doc 0990-Request to Solicit Public Input__Appendix A	IC Document
0990Copy of metadata template non federal.xls 0990Copy of metadata template non federal	IC Document

IC Title:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0990	OS	Tools Pg2.png	Yes	Yes	Fillable Fileable
Form	0990	OS	Tools Pg3.png	Yes	Yes	Fillable Fileable
Form	0990	OS	Datasource Pg1.png	Yes	Yes	Fillable Fileable
Form	0990	OS	Datasource Pg2.png	Yes	Yes	Fillable Fileable
Form	0990	OS	Datasource Pg3.png	Yes	Yes	Fillable Fileable
Form	0990	OS	PRA V2.png	Yes	Yes	Fillable Fileable
Form	0990	OS	Tools Pg1.png	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0990-Data_gov_PIA_for_website_May_2011	0990-Data_gov_PIA_for_website_May_2011.docx	06/27/2011
0990-Request to Solicit Public Input__Appendix A	0990-Request to Solicit Public Input__Appendix A.doc	06/27/2011
0990Copy of metadata template non federal	0990Copy of metadata template non federal.xls	06/27/2011

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