Information Collection

Web-based Survey of DIRLINE database (NLM)

IC 203095 under ICR 201112-0925-001 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Web-based Survey of DIRLINE database (NLM)	Form and Instruction
1 NLM Survey Instument NLM DIRLINE_survey instrument_fast track request (2).docx	Form and Instruction
NLM DIRLINE_NIH_fast_track_template request 12.28.12.doc Fast Track Request Template	IC Document
NLM DIRLINE_Survey_screenshot_fast track request (2).pdf Fats Track Request Instrument Screenshots	IC Document

IC Title:

Web-based Survey of DIRLINE database (NLM)

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	NLM Survey Instument	NLM DIRLINE_survey instrument_fast track request (2).docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

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
	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	150	0	0	0	0	0
Annual IC Time Burden (Hours)	13	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 Request Template	NLM DIRLINE_NIH_fast_track_template request 12.28.12.doc	07/06/2012
Fats Track Request Instrument Screenshots	NLM DIRLINE_Survey_screenshot_fast track request (2).pdf	07/06/2012

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