Information Collection

FOLLOW-UP Survey of the Secretary's Advisory Committee on Heritable Disorders in Newborns and Children's Public Health System Assessment

IC 215121 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 2A FOLLOW-UP Survey of the Secretary's Advisory Committee on Heritable Disorders in Newborns and Children's Public Health System Assessment Form and Instruction
2A FollowupSurvey_REVISED_Clean 0014.docx FollowupSurvey_REVISED_Clean 0014.docx Form and Instruction
2B FollowupSurvey_REVISED_TrackedChanges 0014.pdf FollowupSurvey_REVISED_TrackedChanges 0014.pdf Form and Instruction
Attachment E Screen Shot Survey Template.pdf Attachment E - Screen Shot Survey Template IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FOLLOW-UP Survey of the Secretary's 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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2A	FollowupSurvey_REVISED_Clean 0014.docx	FollowupSurvey_REVISED_Clean 0014.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2B	FollowupSurvey_REVISED_TrackedChanges 0014.pdf	FollowupSurvey_REVISED_TrackedChanges 0014.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.