Information Collection Request

National Data Exchange (N-DEx) User Questionnaire

ICR 201505-1110-001 · OMB 1110-0062 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form UnNumbered National Data Exchange (N-DEx) User Questionnaire Form New Available
1110-NEW N-DEx_Supporting Statement B_051315.doc Supporting Statement B Uploaded 2015-05-13 Available
N-Dex_Supporting Statement A.docx Supporting Statement A Uploaded 2015-06-24 Available
NDEX_83I.pdf Supplementary Document Uploaded 2015-05-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
216582 National Data Exchange (N-DEx) User Questionnaire Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2018 36 Months From Approved
2,000 0 0
1,000 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
National Data Exchange (N-DEx) User Questionnaire UnNumbered National Data Exchange (N-DEx) User Questionnaire

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,000 0 0 2,000 0 0
Annual Time Burden (Hours) 1,000 0 0 1,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No