Information Collection

LLS Class of 2016 Laboratory Quality Survey

IC 229299 under ICR 201503-0920-011 · OMB 0920-1071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1071 LLS Class of 2016 Laboratory Quality Survey	Form and Instruction
0920-1071 LLS Class of 2016 Laboratory Quality Survey Att. 1 - LLS 2016 Quality Survey.docx	Form and Instruction
Att. 2 - LLS 2016 Quality Survey human subjects determination.pdf Research Determination	IC Document
Generic_Clearance_for_Qualitative_Feedback__Approval_Form_NCEZID - LLS_Q....docx GenIC Request	IC Document

IC Title:

LLS Class of 2016 Laboratory Quality Survey

Agency IC Tracking Number:

0920-1071-18HR

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	0920-1071	LLS Class of 2016 Laboratory Quality Survey	Att. 1 - LLS 2016 Quality Survey.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

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	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Research Determination	Att. 2 - LLS 2016 Quality Survey human subjects determination.pdf	12/04/2017
GenIC Request	Generic_Clearance_for_Qualitative_Feedback__Approval_Form_NCEZID - LLS_Q....docx	12/04/2017

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