Information Collection

Expert Panel Informed Consent

IC 213451 under ICR 201410-0925-001 · OMB 0925-0707.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0707 can be found here:

Documents and Forms

Document Name Document Type
Form 9 EXPERT PANEL INFORMED CONSENT Form
9 EXPERT PANEL INFORMED CONSENT Attach 9. Informed Consent Form - Fathers and Parental Partners.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	EXPERT PANEL INFORMED CONSENT	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	9	EXPERT PANEL INFORMED CONSENT	Attach 9. Informed Consent Form - Fathers and Parental Partners.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	2	2
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.