Information Collection

CDER Library Test 1

IC 224451 under ICR 201603-4040-001 · OMB 4040-0017.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HHS DAP_CDER Library 1_Survey_11042016.docx	Other-
CDER Library Scenario_11162016_final.docx	Instruction
4040-0017_Short Supporting Statement_CDER Library_11042016.docx Short Suppoirting Statement	IC Document
4040-0017_Supporting Statement A_CDER Library_11042016.docx Supporting Statement	IC Document
DRAFT_CDER Library Presentation_11042016.pptx Presentation	IC Document

IC Title:

CDER Library Test 1

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-					Yes	Yes	Fillable Fileable
Instruction					Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Short Suppoirting Statement		11/17/2016
Supporting Statement		11/17/2016
Presentation		11/17/2016

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

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