Information Collection

RxNav NLM Questionnaire - 12.17.15_DOT

IC 219816 under ICR 201412-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 958 RxNav NLM Questionnaire - 12.17.15_DOT	Form and Instruction
958 Copy of RxNav NLM Questionnaire - 12.17.15_DOT Copy of RxNav NLM Questionnaire - 12.17.15_DOT.xlsx	Form and Instruction

IC Title:

RxNav NLM Questionnaire - 12.17.15_DOT

Agency IC Tracking Number:

958

IC Status: New

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 and Instruction	958	Copy of RxNav NLM Questionnaire - 12.17.15_DOT	Copy of RxNav NLM Questionnaire - 12.17.15_DOT.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
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.