Information Collection

2022 ICARE OLAW Conversations Registration (OD)

IC 250855 under ICR 202201-0925-002 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2022 ICARE OLAW Conversations Registration (OD)	Form and Instruction
1 Registration form screenshot OLAW Conversations registration screenshots.docx	Form and Instruction
1 Registration form screenshot OLAW Conversations registration screenshots.docx	Form and Instruction
ICARE OLAW Conversations 2022 Registration Generic template.docx sub-study for ICARE 2022 Conversations registration	IC Document
ICARE OLAW Conversations 2022 Registration Generic template.docx sub-study for ICARE 2022 Conversations registration	IC Document
[EXTERNAL] ICARE VIRTUAL SESSIONS 2022 Registration Confirmation.pdf invitation	IC Document
[EXTERNAL] ICARE VIRTUAL SESSIONS 2022 Registration Confirmation.pdf invitation	IC Document

IC Title:

2022 ICARE OLAW Conversations Registration (OD)

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	Registration form screenshot	OLAW Conversations registration screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
sub-study for ICARE 2022 Conversations registration	ICARE OLAW Conversations 2022 Registration Generic template.docx	12/20/2021
invitation	[EXTERNAL] ICARE VIRTUAL SESSIONS 2022 Registration Confirmation.pdf	12/20/2021

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