Information Collection

Feedback from GovDelivery Subscribers (NINR)

IC 237466 under ICR 201906-0925-001 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Feedback from GovDelivery Subscribers (NINR)	Form
1 Questions screenshot Questions_Screenshot.png	Form
FastTrack_NINR_GovDelivery_8_19_19.doc Fast track for GovDelivery Subscribers	IC Document
Burden_Statement_Screenshot.png Burden Statement	IC Document

IC Title:

Feedback from GovDelivery Subscribers (NINR)

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
Form	1	Questions screenshot	Questions_Screenshot.png		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	20,000	20,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast track for GovDelivery Subscribers	FastTrack_NINR_GovDelivery_8_19_19.doc	08/19/2019
Burden Statement	Burden_Statement_Screenshot.png	08/19/2019

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