Information Collection

Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Private Sector)

IC 241709 under ICR 202109-0925-004 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Private Sector)	Form and Instruction
Form 1 Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Private Sector)	Form and Instruction
1 Blueprint Handout Blueprint handout rev6 20200206 (005)_NA (1).docx	Form and Instruction
1 Blueprint Handout Blueprint handout rev6 20200206 (005)_NA (1).docx	Form and Instruction
COPD Clearance_NHLBI_Final (1).docx Mini SSA	IC Document
COPD Clearance_NHLBI_Final (1).docx Mini SSA	IC Document

IC Title:

Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Private Sector)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

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	1	Blueprint Handout	Blueprint handout rev6 20200206 (005)_NA (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA	COPD Clearance_NHLBI_Final (1).docx	05/06/2020

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