Information Collection

MPV Folate MBA Enrollment Section on Data Submission Form (Private Research Lab)

IC 255927 under ICR 202209-0920-008 · OMB 0920-1389.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1389 can be found here:

Documents and Forms

Document Name Document Type
MPV Folate MBA Enrollment Section on Data Submission Form (Private Research Lab) Form
MPV Folate MBA Enrollment Section on Data Submission For Att 3g. MPVFolate Enroll&DataReturn.xlsx Form
MPV Folate MBA Enrollment Section on Data Submission For Att 3g. MPVFolate Enroll&DataReturn.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MPV Folate MBA Enrollment Section on Data Submission Form (Private Research Lab)	Agency IC Tracking Number:	0920-22AW

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
Form	n/a	MPV Folate MBA Enrollment Section on Data Submission Form	Att 3g. MPVFolate Enroll&DataReturn.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5	-10	15
Annual IC Time Burden (Hours)	2	-4	6
Annual IC Cost Burden (Dollars)	0	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.