Health Record

Safety and Health Information Collection

OMB: 0693-0080

IC ID: 231570

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Health Record ER
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NIST-986 Health Record NIST-986 Health Record.docx No   Paper Only

Health Health Care Services

COMMERCE/DEPT-18: Employees Personnel Files Not Covered by Notices of Other Agencies  72 FR 6200

333 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 333 0 333 0 0 0
Annual IC Time Burden (Hours) 56 0 56 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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