Information Collection

HINTS Workshop Sub-Study

IC 228815 under ICR 201602-0925-001 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 HINTS Workshop Sub-Study	Form
1 Abstract Submission Screenshot Abstract Submission Screenshot.docx	Form
2 Registration Screenshot Registration Screen shot.docx	Form
HINTS Workshop Sub-Study_revised_10.26.docx HINTS Data User Conference	IC Document

IC Title:

HINTS Workshop Sub-Study

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
Form	1	Abstract Submission Screenshot	Abstract Submission Screenshot.docx		Yes	Yes	Fillable Fileable
Form	2	Registration Screenshot	Registration Screen shot.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

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	160	160
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
HINTS Data User Conference	HINTS Workshop Sub-Study_revised_10.26.docx	10/27/2017

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