Information Collection

NIST Feedback Survey for RGTM 10169

IC 242305 under ICR 201901-0693-001 · OMB 0693-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0693-0043-NIST-RGTM10169-CollectionInstrument-ScreenShots.pdf	Other-Collection Instrument
0693-0043-NIST-RGTM10169-SupportingStatement-06-17-2020.docx NIST Feedback Survey for RGTM 10169 - Supporting Statement	IC Document
0693-0043-NIST-RGTM10169-RecruitmentEmail-Sample.docx NIST Feedback Survey for RGTM 10169 - SAMPLE - Recruitment Email	IC Document

IC Title:

NIST Feedback Survey for RGTM 10169

Agency IC Tracking Number:

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
Other-Collection Instrument			0693-0043-NIST-RGTM10169-CollectionInstrument-ScreenShots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	150	150
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIST Feedback Survey for RGTM 10169 - Supporting Statement	0693-0043-NIST-RGTM10169-SupportingStatement-06-17-2020.docx	06/18/2020
NIST Feedback Survey for RGTM 10169 - SAMPLE - Recruitment Email	0693-0043-NIST-RGTM10169-RecruitmentEmail-Sample.docx	06/18/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.