Information Collection

INITIAL Survey of the Secretary's Discretionary Advisory Committee on Heritable Disorders in Newborns and Children's Public Health System Assessment

IC 215120 under ICR 201808-0906-002 · OMB 0906-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0906-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1B INITIAL Survey of the Secretary's Discretionary Advisory Committee on Heritable Disorders in Newborns and Children's Public Health System Assessment	Form and Instruction
1A InitialSurvey_REVISED_Clean0014.docx InitialSurvey_REVISED_Clean0014.docx	Form and Instruction
1B InitialSurvey_REVISED_TrackedChanges 0014.pdf InitialSurvey_REVISED_TrackedChanges 0014.pdf	Form and Instruction
Attachment E Screen Shot Survey Template.pdf Attachment E - Screen Shot Survey Template	IC Document

IC Title:

INITIAL Survey of the Secretary's Discretionary Advisory Committee on Heritable Disorders in Newborns and Children's Public Health System Assessment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	1B	InitialSurvey_REVISED_TrackedChanges 0014.pdf	InitialSurvey_REVISED_TrackedChanges 0014.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	1A	InitialSurvey_REVISED_Clean0014.docx	InitialSurvey_REVISED_Clean0014.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	118	118
Annual IC Time Burden (Hours)	1,180	1,180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment E - Screen Shot Survey Template	Attachment E Screen Shot Survey Template.pdf	08/27/2018

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