Information Collection

LRN Lab Director Cover Letter - BCC Post

IC 217828 under ICR 201507-0920-012 · OMB 0920-1096.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1096 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C2 LRN cover letter for survey V2 BCC post- 04012015 V2.docx	Instruction

IC Title:

LRN Lab Director Cover Letter - BCC Post

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
Instruction			Appendix C2 LRN cover letter for survey V2 BCC post- 04012015 V2.docx	NA	Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 55

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	55	55
Annual IC Time Burden (Hours)	5	5
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.