Information Collection

Center for Scientific Review (CSR) - 2012 IRG Stakeholder Survey

IC 206829 under ICR 201403-0925-002 · OMB 0925-0474.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0474 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Center for Scientific Review (CSR) - 2012 IRG Stakeholder Survey	Form and Instruction
1 CSR Review- 2012 IRG Survey- screen shots 2012 IRG Stakeholder Survey -PSE.pdf	Form and Instruction
2012 IRG StakeholderSurveyMemoCSR for PSE with PCB comments 4.30.2013.doc CSR Generic Template	IC Document
IRG Stakeholder Memo for PSE with PCB comments 4.30.2013.doc CSR Justification Memo	IC Document

IC Title:

Center for Scientific Review (CSR) - 2012 IRG Stakeholder Survey

Agency IC Tracking Number:

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
Form and Instruction	1	CSR Review- 2012 IRG Survey- screen shots	2012 IRG Stakeholder Survey -PSE.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CSR Generic Template	2012 IRG StakeholderSurveyMemoCSR for PSE with PCB comments 4.30.2013.doc	05/03/2013
CSR Justification Memo	IRG Stakeholder Memo for PSE with PCB comments 4.30.2013.doc	05/03/2013

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