Information Collection

On-Site Review Manual

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
On Site Review Manuel		09/15/2022

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

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