Information Collection

IHC Telsphone Interview (Pathologists, Laboratory Directors, Laboratory Managers)

IC 221167 under ICR 201604-0920-010 · OMB 0920-1067.

Documents and Forms

Document Name Document Type
Form 0920-1067 IHC Telsphone Interview (Pathologists, Laboratory Directors, Laboratory Managers) Form and Instruction
0920-1067 Att C1 - IHC Telephone Interview Script Att C1 - IHC Telephone Interview Script .docx Form and Instruction
Att. Ci - IHC_pressrelease.pdf Att. Ci - IHC_pressrelease IC Document
Att. Cii - IHC_summaryrecommendations.pdf Att. Cii - IHC_summaryrecommendations IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	IHC Telsphone Interview (Pathologists, Laboratory Directors, Laboratory Managers)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1067	Att C1 - IHC Telephone Interview Script	Att C1 - IHC Telephone Interview Script .docx		No		Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att. Ci - IHC_pressrelease	Att. Ci - IHC_pressrelease.pdf	04/20/2016
Att. Cii - IHC_summaryrecommendations	Att. Cii - IHC_summaryrecommendations.pdf	04/20/2016

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