Information Collection

Website portal for Submission of Supplemental Evidence and Data for Systematic Reviews

IC 219252 under ICR 201512-0935-002 · OMB 0935-0231.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0231 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Website portal for Submission of Supplemental Evidence and Data for Systematic Reviews	Form and Instruction
1 Attachment B -- Website portal for Submission of Supplem Attachment B --Online Submission Form.png	Form and Instruction
2 Attachment C – Optional Data Entry Form Attachment C -- Optional_Data Entry Form.xlsx	Form and Instruction

IC Title:

Website portal for Submission of Supplemental Evidence and Data for Systematic Reviews

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	1	Attachment B -- Website portal for Submission of Supplemental Evidence and Data for Systematic Reviews	Attachment B --Online Submission Form.png		Yes	Yes	Fillable Fileable
Form and Instruction	2	Attachment C â Optional Data Entry Form	Attachment C -- Optional_Data Entry Form.xlsx		No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	18	18
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.