Information Collection

Normative Population Survey 2

IC 212661 under ICR 201408-0925-003 · OMB 0925-0704.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0704 can be found here:

Documents and Forms

Document Name Document Type
Form 10 Normative Population Survey 2 Form and Instruction
10 Normative Survey 2 Attachment 7_Normative Survey 2.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Normative Population Survey 2	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	10	Normative Survey 2	Attachment 7_Normative Survey 2.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	1,500	1,500
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.