Information Collection

MDPS Study Facilities Burden

IC 252414 under ICR 202203-0930-004 · OMB 0930-0388.

Documents and Forms

Document Name Document Type
No Instrument.docx Other-
No Instrument.docx Other-

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MDPS Study Facilities Burden	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-			No Instrument.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: MDPS Study	FR Citation: 75 FR 28264

Number of Respondents: 638	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	638	638
Annual IC Time Burden (Hours)	1,146	1,146
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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