Information Collection

UT - Baseline

IC 217764 under ICR 201808-0920-008 · OMB 0920-1096.

Documents and Forms

Document Name Document Type
UT - Baseline Form and Instruction
Urine Collection, Storage and Preservation Laboratory Pr Appendix M4 Urine Culture Survey 06242015.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	UT - Baseline	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	NA	Urine Collection, Storage and Preservation Laboratory Practice Survey	Appendix M4 Urine Culture Survey 06242015.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,951	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	7,951	7,951
Annual IC Time Burden (Hours)	2,650	2,650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.