Information Collection

30813 Q_NHLBI_Browse V2_20211007_DOT

IC 252842 under ICR 202204-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 30813 Q_NHLBI_Brow 30813 Q_NHLBI_Browse V2_20211007_DOT	Form and Instruction
30813 Q_NHLBI_Brow 30813 Q_NHLBI_Browse V2_20211007_DOT 30813 Q_NHLBI_Browse V2_20211007_DOT.xlsx	Form and Instruction
30813 Q_NHLBI_Brow 30813 Q_NHLBI_Browse V2_20211007_DOT 30813 Q_NHLBI_Browse V2_20211007_DOT.xlsx	Form and Instruction
NIH OMB Form 11.13.2018 IA 30813 A0.pdf NIH OMB Form 11.13.2018 IA 30813 A0	IC Document
NIH OMB Form 11.13.2018 IA 30813 A0.pdf NIH OMB Form 11.13.2018 IA 30813 A0	IC Document
1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813.xlsx 1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813	IC Document
1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813.xlsx 1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813	IC Document

IC Title:

30813 Q_NHLBI_Browse V2_20211007_DOT

Agency IC Tracking Number:

30813 Q_NHLBI_Browse V2_20211007_DOT

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	30813 Q_NHLBI_Browse V2_20211007_DOT	30813 Q_NHLBI_Browse V2_20211007_DOT	30813 Q_NHLBI_Browse V2_20211007_DOT.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,511

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	3,511	3,511
Annual IC Time Burden (Hours)	234	234
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIH OMB Form 11.13.2018 IA 30813 A0	NIH OMB Form 11.13.2018 IA 30813 A0.pdf	04/12/2022
1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813	1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813.xlsx	04/12/2022

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