Information Collection Request

NLM Lost People-Finder System

ICR 201306-0925-008 · OMB 0925-0612 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Family Members Form and Instruction Modified Available
Form 1 Emergency Care First-Responders, Physicians, Other Health Care Providers Form and Instruction Modified Available
Attachment 5_ EPIC-HHS-People-Locator-comments-FINAL.pdf Supplementary Document Uploaded 2013-06-24 Available
Attachment 4_OSOP Privacy Review_NLM People Locator.docm Supplementary Document Uploaded 2013-06-24 Available
Attachment 3_OHSR LPF Amendment approval Aug 2010.pdf Supplementary Document Uploaded 2013-06-24 Available
NLM ICR_People Locator Supporting Statement(A)_June 2013.doc Supporting Statement A Uploaded 2013-06-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
191876 Family Members Form and Instruction Modified
191875 Emergency Care First-Responders, Physicians, Other Health Care Providers Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved 07/31/2013
150,000 0 150,000
7,500 0 12,000
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Emergency Care First-Responders, Physicians, Other Health Care Providers 1 iPhone iPad Screenshots
Family Members 1 iPhone iPad Screenshots

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 150,000 150,000 0 0 0 0
Annual Time Burden (Hours) 7,500 12,000 0 0 -4,500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No