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⚠️ Notice: This information collection may be referencing outdated material.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:

2017-11-16 - Reinstatement without change of a previously approved collection

Documents and Forms

Documents and forms in this information collection
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:

table that charts list of 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

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	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

table that charts IC Documents
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.