Information Collection Request

Outcome Measure Repository

ICR 201804-0935-001 · OMB 0935-0241 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Attachment B: OMR Record (Data Collection Instrument) Form and Instruction New Available
attachment c - ropr privacy impact assessment.docx Supplementary Document Uploaded 2018-04-19 Available
OMR_Supporting Statement Part A_04-25-18.docx Supporting Statement A Uploaded 2018-04-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
231141 Attachment B: OMR Record (Data Collection Instrument) Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved
70 0 0
19 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Attachment B: OMR Record (Data Collection Instrument) 1 OMR Data Collection Instrument

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 70 0 0 70 0 0
Annual Time Burden (Hours) 19 0 0 19 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No