Information Collection

Emergency Care First-Responders, Other Health Care Providers

IC 222020 under ICR 201606-0925-007 · OMB 0925-0612.

Documents and Forms

Document Name Document Type
Form 1 Emergency Care First-Responders, Other Health Care Providers Form and Instruction
1 NLM People Locator Screenshots Attachment 2_NLM People Locator Screen shots.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Emergency Care First-Responders, Other Health Care Providers	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	1	NLM People Locator Screenshots	Attachment 2_NLM People Locator Screen shots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH)	FR Citation: 67 FR 187

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	2,500	2,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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