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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.