OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Emergency Care First-Responders, Physicians, Other Health Care Providers

IC 191875 under ICR 201606-0925-007 · OMB 0925-0612.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Emergency Care First-Responders, Physicians, Other Health Care Providers
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 iPhone iPad Screenshots Attachment 2 Screenshot Information Ver 04-4-2013.pdf Yes Yes Fillable Fileable

Disaster Management Emergency Response

 

500 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -50,000 0 0 50,000
Annual IC Time Burden (Hours) 0 0 -2,500 0 0 2,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 1_NLM People Locator_Data Elements Attachment 1_NLM People Locator_Data Elements.docx 07/08/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.