Information Collection Request

Specimen Resource Location (SRL) NCI

ICR 201406-0925-003 · OMB 0925-0703 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Federal Government Annual Update Form and Instruction New Available
Form 1 State Government Annual Update - Form and Instruction New Available
Form 1 Private Sector Annual Update Form and Instruction New Available
Form 1 Federal Government Initial Request - Web Screenshot Form and Instruction New Available
Form 1 State Government Initial Request - Website Screenshots Form and Instruction New Available
Form 1 Private Sector Initial Request - Website Screenshots Form and Instruction New Repair queued
A4_PrivacyActMemo-032714.docx Supplementary Document Uploaded 2014-06-30 Available
A1_SRL-InviteLetter.doc Supplementary Document Uploaded 2014-06-30 Available
A3 Annual Email Update.docx Supplementary Document Uploaded 2014-06-30 Available
SSA SRL 8 27 2014.docx Supporting Statement A Uploaded 2014-08-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
212172 Federal Government Annual Update Form and Instruction New
212168 State Government Annual Update - Form and Instruction New
212167 Private Sector Annual Update Form and Instruction New
212166 Federal Government Initial Request - Web Screenshot Form and Instruction New
211914 State Government Initial Request - Website Screenshots Form and Instruction New
211913 Private Sector Initial Request - Website Screenshots Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2017 36 Months From Approved
250 0 0
105 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 250 0 0 250 0 0
Annual Time Burden (Hours) 105 0 0 105 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No