Information Collection

WISQARS Discussion Groups

IC 211074 under ICR 201401-0920-008 · OMB 0920-1009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
WISQARS Discussion Groups	Form
Discussion Guide WISQARS Discussion Group Questions.docx	Form
Fast_Track_GenIC_RequestTemplate - WISQARS Discussion Group.docx Request for Approval	IC Document

IC Title:

WISQARS Discussion Groups

Agency IC Tracking Number:

14PJ

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	Discussion Guide	WISQARS Discussion Group Questions.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	Fast_Track_GenIC_RequestTemplate - WISQARS Discussion Group.docx	04/02/2014

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