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

The Secretary's Discretionary Advisory Committee on Heritable Disorders in Newborns and Children's Public Health System Assessment Surveys

⚠️ Notice: This information collection may be referencing outdated material.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

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.