Information Collection

GenIC Template

IC 256590 under ICR 202209-0920-018 · OMB 0920-1381.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1381 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920 GenIC Template	Form and Instruction
0920 NPPTL Laboratory Package Attachment C - GenIC Template - NPPTL Laboratory Package.docx	Form and Instruction
0920 NPPTL Laboratory Package Attachment C - GenIC Template - NPPTL Laboratory Package.docx	Form and Instruction

IC Title:

GenIC Template

Agency IC Tracking Number:

0920-22ER

IC Status: New

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
Form and Instruction	0920	NPPTL Laboratory Package	Attachment C - GenIC Template - NPPTL Laboratory Package.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,750

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,750	1,750
Annual IC Time Burden (Hours)	15,591	15,591
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.