Information Collection

MPV Micronutrients MBA Data Submission Form (International)

IC 255935 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⚠️ Notice: This information collection may be referencing outdated material.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 Micronutrients MBA Data Submission Form (International) Form
MPV Micronutrients MBA Enrollment Section on Data Submis Att 3h. MPVMicro Enroll&DataReturn.xlsx Form
MPV Micronutrients MBA Enrollment Section on Data Submis Att 3h. MPVMicro Enroll&DataReturn.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MPV Micronutrients MBA Data Submission Form (International)	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 Micronutrients MBA Enrollment Section on Data Submission Form	Att 3h. MPVMicro 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: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	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.