Information Collection

United States National Authority for the Containment of Polio (NAC) Webinar Survey and Polling Questions

IC 253302 under ICR 201902-0920-022 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 Webinar Polling Questions United States National Authority for the Containment of Polio (NAC) Webinar Survey and Polling Questions	Form and Instruction
0920-1050 Webinar Polling Questions Att1-NAC WebinarPolling Questions_final.docx	Form and Instruction
0920-1050-Request -CPR-NAC Webinar Survey Polling Questions_final.docx GenIC Request Template	IC Document

IC Title:

United States National Authority for the Containment of Polio (NAC) Webinar Survey and Polling Questions

Agency IC Tracking Number:

0920-1050-22FD

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	0920-1050				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request Template		05/09/2022

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

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