Information Collection

National Center on Law and Elder Rights-Resource Support Requests and User Satisfaction

IC 232653 under ICR 201808-0985-001 · OMB 0985-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0060 can be found here:

Documents and Forms

Document Name Document Type
Form 1 National Center on Law and Elder Rights-Resource Support Requests and User Satisfaction Form and Instruction
1 Resource Support Request Attachment C-URSRT-Final.docx Form and Instruction
2 User Satisfaction Attachment D-User Satisfaction Form (1).docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Center on Law and Elder Rights-Resource Support Requests and User Satisfaction	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	1	Resource Support Request	Attachment C-URSRT-Final.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	User Satisfaction	Attachment D-User Satisfaction Form (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,580	Number of Respondents for Small Entity: 175

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,580	17,580
Annual IC Time Burden (Hours)	461	461
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.