Information Collection

UT - Baseline

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Urine Collection, Storage and Preservation Laboratory Practice Survey UT - Baseline	Form and Instruction
Urine Collection, Storage and Preservation Laboratory Pr Appendix M4 Urine Culture Survey 06242015.pdf	Form and Instruction

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:

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	NA			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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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