Information Collection

Data Tables

IC 217559 under ICR 202108-0925-001 · OMB 0925-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10 Data Tables	Form and Instruction
10 Introduction to the Data Tables Attachment 11A Introduction to the Data Tables_FORMS-G.docx	Form and Instruction
10 Introduction to the Data Tables Attachment 11A Introduction to the Data Tables_FORMS-G.docx	Form and Instruction
Attachment 11B Undergraduate Training Tables_FORMS-G.docx Attachment 11B Undergraduate Training Tables	IC Document
Attachment 11B Undergraduate Training Tables_FORMS-G.docx Attachment 11B Undergraduate Training Tables	IC Document
Attachment 11D International_Training_Tables_FORMS-G.docx Attachment 11D Consolidated International Training Tables	IC Document
Attachment 11D International_Training_Tables_FORMS-G.docx Attachment 11D Consolidated International Training Tables	IC Document
Attachment 11C Consolidated_Training_Tables_FORMS-G.docx Consolidated Training Tables	IC Document
Attachment 11C Consolidated_Training_Tables_FORMS-G.docx Consolidated Training Tables	IC Document

IC Title:

Data Tables

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	10	Introduction to the Data Tables	Attachment 11A Introduction to the Data Tables_FORMS-G.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,515

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,515	1,515
Annual IC Time Burden (Hours)	6,060	6,060
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 11B Undergraduate Training Tables	Attachment 11B Undergraduate Training Tables_FORMS-G.docx	08/09/2021
Attachment 11D Consolidated International Training Tables	Attachment 11D International_Training_Tables_FORMS-G.docx	08/09/2021
Consolidated Training Tables	Attachment 11C Consolidated_Training_Tables_FORMS-G.docx	08/09/2021

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