Information Collection

2013 729 Girls Health V2 10-31-13 - 2013 739 NIA Health and Aging 11-5-13

IC 209296 under ICR 201110-1090-001 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 729 2013 729 Girls Health V2 10-31-13 - 2013 739 NIA Health and Aging 11-5-13 Form and Instruction
729 2013 729 Girls Health V2 10-31-13 2013 729 Girls Health V2 10-31-13.xlsx Form and Instruction
730 2013 730 National Park Service (NPS) Satisfaction Survey 2013 730 National Park Service (NPS) Satisfaction Survey 10-31-13.xlsx Form and Instruction
731 2013 731 NWHIC V2 10-31-13 2013 731 NWHIC V2 10-31-13.xlsx Form and Instruction
732 2013 732 SAMSHA Main Site 10-14-13 2013 732 SAMSHA Main Site 10-14-13.xlsx Form and Instruction
733 2013 733 SAMSHA Store V2 10-14-13 2013 733 SAMSHA Store V2 10-14-13.xlsx Form and Instruction
734 2013 734 DHS CIS WTUSA 11-11-13 2013 734 DHS CIS WTUSA 11-11-13.xlsx Form and Instruction
735 2013 735 DOD Army Benefits Center 11-11-13 2013 735 DOD Army Benefits Center 11-11-13.xlsx Form and Instruction
736 2013 736 IRS ACH 11-11-13 2013 736 IRS ACH 2013 11-11-13.xlsx Form and Instruction
737 2013 737 NIA Alzheimers 11-5-13 2013 737 NIA Alzheimers 11-5-13.xlsx Form and Instruction
738 2013 738 NIA Go4Life 11-5-13 2013 738 NIA Go4Life 11-5-13.xlsx Form and Instruction
739 2013 739 NIA Health and Aging 11-5-13 2013 739 NIA Health and Aging 11-5-13.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2013 729 Girls Health V2 10-31-13 - 2013 739 NIA Health and Aging 11-5-13	Agency IC Tracking Number:	729 - 739

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	729	2013 729 Girls Health V2 10-31-13	2013 729 Girls Health V2 10-31-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	730	2013 730 National Park Service (NPS) Satisfaction Survey 10-31-13	2013 730 National Park Service (NPS) Satisfaction Survey 10-31-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	731	2013 731 NWHIC V2 10-31-13	2013 731 NWHIC V2 10-31-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	732	2013 732 SAMSHA Main Site 10-14-13	2013 732 SAMSHA Main Site 10-14-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	733	2013 733 SAMSHA Store V2 10-14-13	2013 733 SAMSHA Store V2 10-14-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	734	2013 734 DHS CIS WTUSA 11-11-13	2013 734 DHS CIS WTUSA 11-11-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	735	2013 735 DOD Army Benefits Center 11-11-13	2013 735 DOD Army Benefits Center 11-11-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	736	2013 736 IRS ACH 11-11-13	2013 736 IRS ACH 2013 11-11-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	737	2013 737 NIA Alzheimers 11-5-13	2013 737 NIA Alzheimers 11-5-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	738	2013 738 NIA Go4Life 11-5-13	2013 738 NIA Go4Life 11-5-13.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	739	2013 739 NIA Health and Aging 11-5-13	2013 739 NIA Health and Aging 11-5-13.xlsx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 39,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	39,600	39,600
Annual IC Time Burden (Hours)	1,650	1,650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.