Information Collection

Technology Grantees Web-based Survey

IC 215627 under ICR 201503-0925-003 · OMB 0925-0720.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0720 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Technology Grantees Web-based Survey	Form and Instruction
2 IMAT Web Survey Attachment 2_IMAT Web Survey_2015-Screenshots.docx	Form and Instruction

IC Title:

Technology Grantees Web-based Survey

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	IMAT Web Survey	Attachment 2_IMAT Web Survey_2015-Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

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	900	900
Annual IC Time Burden (Hours)	450	450
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.