Information Collection

Nurses' Continuing Education Program on Sudden Infant Death Syndrome (SIDS)--Customer Satisfaction Survey

IC 209640 under ICR 201110-0925-003 · OMB 0925-0643.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0643 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Nurses' Continuing Education Program on Sudden Infant Death Syndrome (SIDS)--Customer Satisfaction Survey	Form and Instruction
1 Nurse CE Program Survey NICHD Nurse CE Program Survey_12 13.pdf	Form and Instruction
Fast-Track Template_NICHD Nurse CEP_0925-0643.doc Fast-Track Template_NICHD Nurse CEP_0925-0643	IC Document

IC Title:

Nurses' Continuing Education Program on Sudden Infant Death Syndrome (SIDS)--Customer Satisfaction Survey

Agency IC Tracking Number:

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	1	Nurse CE Program Survey	NICHD Nurse CE Program Survey_12 13.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	18,400	0	0	0	0	0
Annual IC Time Burden (Hours)	4,600	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast-Track Template_NICHD Nurse CEP_0925-0643	Fast-Track Template_NICHD Nurse CEP_0925-0643.doc	12/05/2013

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