Information Collection

Laboratory Personnel Using Bulk Submission Optional Fields

IC 215623 under ICR 201503-0925-002 · OMB 0925-0651.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0651 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Laboratory Personnel Using Bulk Submission Optional Fields	Form and Instruction
2 Bulk Submission Optional Fields ATTACHMENT_Sreenshots of GTR Information Collection_11-25-2014_BK_newvalues.docx	Form and Instruction

IC Title:

Laboratory Personnel Using Bulk Submission Optional Fields

Agency IC Tracking Number:

Is this a Common Form? No

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	2	Bulk Submission Optional Fields	ATTACHMENT_Sreenshots of GTR Information Collection_11-25-2014_BK_newvalues.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 159

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,611	4,611
Annual IC Time Burden (Hours)	1,076	1,076
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.