Information Collection

Developmental Projects and Special Studies

IC 219202 under ICR 202001-0920-015 · OMB 0920-0950.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0950 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att_12_Spec_Studies 082018.docx	Instruction
0920-0950 Blood - Infants Questionnaires Att 1b Blood - Infants Questionnaires 011420.docx	Form and Instruction

IC Title:

Developmental Projects and Special Studies

Agency IC Tracking Number:

0920-0950

Is this a Common Form? No

IC Status: Modified

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
Instruction			Att_12_Spec_Studies 082018.docx		No		Paper Only
Form and Instruction	0920-0950	Blood - Infants Questionnaires	Att 1b Blood - Infants Questionnaires 011420.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Health Resources Utilization Statistics

FR Citation: 49 FR 37693

Number of Respondents: 3,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,500	3,500
Annual IC Time Burden (Hours)	10,500	10,500
Annual IC Cost Burden (Dollars)	250,530	250,530

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.