Information Collection

Image-Assisted Cytology Workload Assessment Survey--Cytotechnologists

IC 208767 under ICR 201309-0920-008 · OMB 0920-1000.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1000 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Image-Assisted Cytology Workload Assessment Survey--Cytotechnologists	Form
Image-Assisted Cytology Workload Assessment Survey--Cyto Attachment D Image-Assisted Cytology Workload Assessment Cytotechnologist Survey_ttp2.docx	Form

IC Title:

Image-Assisted Cytology Workload Assessment Survey--Cytotechnologists

Agency IC Tracking Number:

Is this a Common Form? No

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
Form	None	Image-Assisted Cytology Workload Assessment Survey--Cytotechnologists	Attachment D Image-Assisted Cytology Workload Assessment Cytotechnologist Survey_ttp2.docx		Yes	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,581

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,581	4,581
Annual IC Time Burden (Hours)	2,291	2,291
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.