Information Collection

Update Mailer

IC 198118 under ICR 201407-0925-007 · OMB 0925-0639.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0639 can be found here:

Documents and Forms

Document Name Document Type
Form 2 Update Mailer Form
2 Update Mailer Attach 3_UpdateMailer_CGDirectory.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Update Mailer	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Form	2	Update Mailer	Attach 3_UpdateMailer_CGDirectory.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0156 "Records of Participants in Programs and Respondents in Survey Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIHOD"	FR Citation: 67 FR 60743

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-600	600
Annual IC Time Burden (Hours)	-150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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