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

Documents and Forms

Document Name Document Type
instrument.docx Other-instrument
instrument.docx Other-instrument

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Letter of Attestation regarding Export of Certain Scarce or Threatened Medical Resources	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection 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 %

	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

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