Information Collection

Awareness and Preception Survey for BGT-NBS MMWR CE Ad in Genetics in Medicine

IC 215676 under ICR 201305-0920-009 · OMB 0920-0974.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0974 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MMWR CE ad survey GIM screenshots 3-10-2015.docx	Other-survey
PRA fast-track form_0920-0974_MMWR CE ad GIM 3-5-2015.docx Request for Approval	IC Document
BGT-NBS MMWR CE ad survey_GIM_blast email to SIMD 03-05-2015.docx Blast E-mail	IC Document

IC Title:

Awareness and Preception Survey for BGT-NBS MMWR CE Ad in Genetics in Medicine

Agency IC Tracking Number:

15TR

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-survey			MMWR CE ad survey GIM screenshots 3-10-2015.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	PRA fast-track form_0920-0974_MMWR CE ad GIM 3-5-2015.docx	03/13/2015
Blast E-mail	BGT-NBS MMWR CE ad survey_GIM_blast email to SIMD 03-05-2015.docx	03/13/2015

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