Information Collection

2019 007 NIDDK Feedback

IC 233984 under ICR 201805-1090-003 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 007 2019 007 NIDDK Feedback	Form and Instruction
007 2019 007 NIDDK Feedback 2019 007 NIDDK Feedback.xlsx	Form and Instruction
NIDDK Feedback for OMB 10_25_18 (1).docx NIDDK Feedback for OMB 10_25_18 (1)	IC Document
1090-000 Clearance Request Form NIDDK.pdf 1090-000 Clearance Request Form NIDDK	IC Document

IC Title:

2019 007 NIDDK Feedback

Agency IC Tracking Number:

007

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 and Instruction	007	2019 007 NIDDK Feedback	2019 007 NIDDK Feedback.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,600

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	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIDDK Feedback for OMB 10_25_18 (1)	NIDDK Feedback for OMB 10_25_18 (1).docx	11/09/2018
1090-000 Clearance Request Form NIDDK	1090-000 Clearance Request Form NIDDK.pdf	11/09/2018

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