Information Collection

Tissue storage

IC 225387 under ICR 201609-0990-001 · OMB 0990-0457.

Documents and Forms

Document Name Document Type
NTRUS Survey_Section 5.docx Other-survey
Cover Page_Draft.docx Instrument cover page IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tissue storage	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
Other-survey			NTRUS Survey_Section 5.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 65	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Instrument cover page	Cover Page_Draft.docx	06/19/2017

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