Information Collection

Sumner J Yaffe Webinar Series Feedback (NICHD)

IC 242636 under ICR 201711-0925-003 · OMB 0925-0643.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Sumner J Yaffe Webinar Series Feedback (NICHD)	Form
1 Summer Yaffe Series July 2020 survey 0925-0643_Substudy_Sumner Yaffe Series July 2020_survey.docx	Form
0925-0643_Substudy_Sumner Yaffe Series July 2020.docx Substudy Summer Yaffe Series July 2020	IC Document
0925-0643_Substudy_Sumner Yaffe Series July 2020_email.docx Summer Yaffe Series email July 2020	IC Document

IC Title:

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	Summer Yaffe Series July 2020 survey	0925-0643_Substudy_Sumner Yaffe Series July 2020_survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

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	160	160
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Substudy Summer Yaffe Series July 2020	0925-0643_Substudy_Sumner Yaffe Series July 2020.docx	07/09/2020
Summer Yaffe Series email July 2020	0925-0643_Substudy_Sumner Yaffe Series July 2020_email.docx	07/09/2020

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