Information Collection

Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey

IC 232513 under ICR 201802-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey	Form
1 DSEIS PRA Screenshots 073118-JTyus-DSEIS-PRA-Screenshots 071818.pdf	Form
073118-JTyus-DSEIS-PRA-Request for PRA Fast-Track Survey.doc Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey	IC Document
073118-JTyus-DSEIS-PRA-Letter-Survey.docx DSEIS PRA Letter	IC Document

IC Title:

Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services 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	DSEIS PRA Screenshots	073118-JTyus-DSEIS-PRA-Screenshots 071818.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey	073118-JTyus-DSEIS-PRA-Request for PRA Fast-Track Survey.doc	08/01/2018
DSEIS PRA Letter	073118-JTyus-DSEIS-PRA-Letter-Survey.docx	08/01/2018

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