Image-Assisted Cytology Workload Assessment Survey--Cytotechnologists

Image-Assisted Cytology Workload Assessment and Measure

Documents and Forms

Document Name Document Type
Screen Shots Cytology Workload Survey 01_06_14.pdf Other-PDF
Attachment D Image-Assisted Cytology Workload Assessment Cytotechnologist Survey.docx Other-WORD
Survey Cover Letter 12-12-13.docx Survey Cover Letter 12-12-13 IC Document
Introductory Email Letter 12-12-13.docx Introductory Email Letter 12-12-13 IC Document
Initial Survey Reminder Email 12-12-13.docx Initial Survey Reminder Email 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

Information Collection (IC) Details

IC Title:	Image-Assisted Cytology Workload Assessment Survey--Cytotechnologists	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
Other-PDF			Screen Shots Cytology Workload Survey 01_06_14.pdf		Yes	Yes	Fillable Printable
Other-WORD			Attachment D Image-Assisted Cytology Workload Assessment Cytotechnologist Survey.docx		Yes	Yes	Fillable Printable

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 %

	Approved	Previously Approved
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

Title	Document	Date Uploaded
Survey Cover Letter 12-12-13	Survey Cover Letter 12-12-13.docx	01/27/2014
Introductory Email Letter 12-12-13	Introductory Email 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
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.