Information Collection

Logistics Health Incorporated (LHI)

IC 210087 under ICR 201211-0920-003 · OMB 0920-0953.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0953 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
LHI Survey 12.12.13.docx	Other-WORD
LHI Customer Service Fast Track Application.docx LHI Customer Service Fast Track Application	IC Document

IC Title:

Logistics Health Incorporated (LHI)

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
Other-WORD			LHI Survey 12.12.13.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 09-20-0147 Occupational Health Epidemiological Studies and EEOICPA Programs Records, HHS/CDC/NIOSH

FR Citation: 76 FR 31212

Number of Respondents: 2,100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

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	6,300	0	0	0	0	0
Annual IC Time Burden (Hours)	420	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
LHI Customer Service Fast Track Application	LHI Customer Service Fast Track Application.docx	01/15/2014

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