Information Collection

Medicalcountermeasures.gov customer site feedback form

IC 218330 under ICR 201503-0990-001 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0379 MCM_Website_Questions (2).docx	Other-survey
0990-379Generic Clearance Submission - BARDA MCM.docx medicalcountermeasures.gov customer site feedback form	IC Document

IC Title:

Medicalcountermeasures.gov customer site feedback form

Agency IC Tracking Number:

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
Other-survey			0990-0379 MCM_Website_Questions (2).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
medicalcountermeasures.gov customer site feedback form	0990-379Generic Clearance Submission - BARDA MCM.docx	09/23/2015

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