Information Collection

Traveling Exhibition Host Survey

IC 207185 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⚠️ Notice: This information collection may be referencing outdated material.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 Traveling Exhibition Host Survey	Form and Instruction
1 Traveling Exhibition Host Survey NLM HMD Traveling Exhibition Host Survey instrument and FU Phone Call.docx	Form and Instruction
NIH fast track clearance request - NLM HMD Exhibition Survey.docx NIH fast track clearance request - NLM HMD Exhibition Survey	IC Document
NLM HMD Traveling Exhibition Email solicitation.docx NLM HMD Traveling Exhibition Email solicitation	IC Document

IC Title:

Traveling Exhibition Host 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	Traveling Exhibition Host Survey	NLM HMD Traveling Exhibition Host Survey instrument and FU Phone Call.docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

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 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	250	0	0	0	0	0
Annual IC Time Burden (Hours)	125	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
NIH fast track clearance request - NLM HMD Exhibition Survey	NIH fast track clearance request - NLM HMD Exhibition Survey.docx	05/31/2013
NLM HMD Traveling Exhibition Email solicitation	NLM HMD Traveling Exhibition Email solicitation.docx	05/31/2013

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