Information Collection

Letter of Attestation regarding Export of Certain Scarce or Threatened Medical Resources

IC 241445 under ICR 202009-1660-006 · OMB 1660-0148.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
instrument.docx	Other-instrument
instrument.docx	Other-instrument

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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-instrument			instrument.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 168

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	Previously Approved
Annual Number of Responses for this IC	168	-2,332	2,500
Annual IC Time Burden (Hours)	84	-1,166	1,250
Annual IC Cost Burden (Dollars)	0	0	0

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.