Information Collection

Process Evaluation of the EIA Program - Paper Survey Editorial Review Board

IC 204292 under ICR 201308-0925-004 · OMB 0925-0665.

Documents and Forms

Document Name Document Type
Form 1 Process Evaluation of the EIA Program - Paper Survey Editorial Review Board Form and Instruction
1 Paper Survey for Editorial Board Reviewers Attachment A.2 - Paper Survey for Editorial Board Reviewers.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Process Evaluation of the EIA Program - Paper Survey Editorial Review Board	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	Paper Survey for Editorial Board Reviewers	Attachment A.2 - Paper Survey for Editorial Board Reviewers.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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