Information Collection

On-Site Review Manual

IC 255966 under ICR 202209-0917-001 · OMB 0917-0043.

Documents and Forms

Document Name Document Type
UIO_Onsite_Review_Manual.docx On Site Review Manuel IC Document
UIO_Onsite_Review_Manual.docx On Site Review Manuel IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	On-Site Review Manual	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 25 CFR 1655

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 41	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	41	41
Annual IC Time Burden (Hours)	656	656
Annual IC Cost Burden (Dollars)	135,615	135,615

Documents for IC

Title	Document	Date Uploaded
On Site Review Manuel	UIO_Onsite_Review_Manual.docx	09/15/2022

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