ICARE Dialogues Registration (OD)

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Document Name Document Type
Form 1 ICARE Dialogues Registration (OD) Form and Instruction
1 ICARE Dialogues Registration ICARE Dialogues Registration with demographics supporting docs7_8_20.pdf Form and Instruction
1 ICARE Dialogues Registration ICARE Dialogues Registration with demographics supporting docs7_8_20.pdf Form and Instruction
ICARE Dialogues Registration OMB application registration.docx ICARE Dialogues Registration Template IC Document
ICARE Dialogues Registration OMB application registration.docx ICARE Dialogues Registration Template IC Document

Information Collection (IC) Details

IC Title:	ICARE Dialogues Registration (OD)	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	ICARE Dialogues Registration	ICARE Dialogues Registration with demographics supporting docs7_8_20.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ICARE Dialogues Registration Template	ICARE Dialogues Registration OMB application registration.docx	07/08/2020

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