Information Collection

Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey

IC 231794 under ICR 201702-0925-001 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey	Form
1 SeqSPACE survey question screenshots SeqSPACE survey question screenshots.pdf	Form
Fast Track for SeqSPACE Survey (002).docx Fast Track for SeqSPACE survey	IC Document

IC Title:

Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey

Agency IC Tracking Number:

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	1	SeqSPACE survey question screenshots	SeqSPACE survey question screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 152

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	152	152
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
Fast Track for SeqSPACE survey	Fast Track for SeqSPACE Survey (002).docx	06/13/2018

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