Information Collection

Environmental Scan (CVM)

IC 246151 under ICR 202206-0910-016 · OMB 0910-0697.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Industry Letter (CVM Environmental Scan).docx	Other-Survey Instrument
Industry Letter (CVM Environmental Scan).docx	Other-Survey Instrument
Stakeholder List.xlsx	Other-List of Stakeholders
Stakeholder List.xlsx	Other-List of Stakeholders
0697 Approval Memo - Environmental Scan 2021.docx OMB approval memo	IC Document
0697 Approval Memo - Environmental Scan 2021.docx OMB approval memo	IC Document

IC Title:

Environmental Scan (CVM)

Agency IC Tracking Number:

CVM

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
Other-Survey Instrument			Industry Letter (CVM Environmental Scan).docx		Yes	No	Printable Only
Other-List of Stakeholders			Stakeholder List.xlsx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	0697 Approval Memo - Environmental Scan 2021.docx	03/08/2021

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