Information Collection

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

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.