NYCALC Student Medical Information

Native Youth Community Adaptation and Leadership Congress

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0176 can be found here:

Documents and Forms

Document Name Document Type
NYCALC Student Medical Information Form
Native Youth Community Adaptation and Leadership Congres NYCALC Student Medical Information Form.pdf Form
Native Youth Community Adaptation and Leadership Congres NYCALC Student Medical Information Form.pdf Form

Information Collection (IC) Details

IC Title:	NYCALC Student Medical Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	None	Native Youth Community Adaptation and Leadership Congress - Student Medical Information	NYCALC Student Medical Information Form.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.