Information Collection Request

External Reviewer Survey

ICR 202101-3045-001 · OMB 3045-0192 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 External Reviewer Survey Form and Instruction New Repair queued
USCODE-2017-title42-chap129-subchapI-divsnG-sec12651d.pdf Supplementary Document Uploaded 2021-01-15 Missing upstream
Justification External Reviewer Survey_1.15.21.docx Supporting Statement A Uploaded 2021-01-15 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
245370 External Reviewer Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
250 0
63 0
3,485 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
External Reviewer Survey 1 External Reviewer Survey

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 250 0 0 250 0 0
Annual Time Burden (Hours) 63 0 0 63 0 0
Annual Cost Burden (Dollars) 3,485 0 0 3,485 0 0


Reginfo record details
  No