Information Collection

Image-Assisted Cytology Workload Practices Survey--Laboratory

IC 208766 under ICR 201401-0920-010 · OMB 0920-1000.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment C Image-Assited Cytology Workload Practices Survey Laboratories.docx	Other-WORD
Screen Shots Cytology Workload Survey 01_06_14.pdf	Other-PDF
Survey Cover Letter 12-12-13.docx Survey Cover Letter 12-12-13	IC Document
Initial Survey Reminder Email 12-12-13.docx Initial Survey Reminder Email 12-12-13	IC Document
Introductory Email Letter 12-12-13.docx Introductory Email Letter 12-12-13	IC Document
Second Survey Reminder Email 12-12-13.docx Second Survey Reminder Email 12-12-13	IC Document
Final Survey Reminder Email 12-12-13.docx Final Survey Reminder Email 12-12-13	IC Document
Change Request 1-30-14.docx Change Request 1-30-14	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-WORD			Attachment C Image-Assited Cytology Workload Practices Survey Laboratories.docx		Yes	Yes	Fillable Printable
Other-PDF			Screen Shots Cytology Workload Survey 01_06_14.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 996

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	Previously Approved
Annual Number of Responses for this IC	996	996
Annual IC Time Burden (Hours)	498	498
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Cover Letter 12-12-13	Survey Cover Letter 12-12-13.docx	01/27/2014
Initial Survey Reminder Email 12-12-13	Initial Survey Reminder Email 12-12-13.docx	01/27/2014
Introductory Email Letter 12-12-13	Introductory Email Letter 12-12-13.docx	01/27/2014
Second Survey Reminder Email 12-12-13	Second Survey Reminder Email 12-12-13.docx	01/27/2014
Final Survey Reminder Email 12-12-13	Final Survey Reminder Email 12-12-13.docx	01/27/2014
Change Request 1-30-14	Change Request 1-30-14.docx	01/30/2014

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