Emergency Care First-Responders, Physicians, Other Health Care Providers

NLM Lost People-Finder System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0612 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Emergency Care First-Responders, Physicians, Other Health Care Providers Form and Instruction
1 iPhone iPad Screenshots Attachment 2 Screenshot Information Ver 04-4-2013.pdf Form and Instruction
Attachment 1_NLM People Locator_Data Elements.docx Attachment 1_NLM People Locator_Data Elements IC Document

Information Collection (IC) Details

IC Title:	Emergency Care First-Responders, Physicians, Other Health Care Providers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	iPhone iPad Screenshots	Attachment 2 Screenshot Information Ver 04-4-2013.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50,000	0	50,000
Annual IC Time Burden (Hours)	2,500	-1,500	4,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 1_NLM People Locator_Data Elements	Attachment 1_NLM People Locator_Data Elements.docx	07/08/2013

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