Information Collection Request

Online Submission Form for Supplemental Evidence and Data for Systematic Reviews for the Evidence-based Practice Center Program

ICR 202210-0935-001 · OMB 0935-0231 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Website portal for Submission of Supplemental Evidence and Data for Systematic Reviews Form and Instruction Modified Repair queued
Jean Public Comment.msg Supplementary Document Uploaded 2019-06-24 Repair queued
Attachment E -- Draft PIA.pdf Supplementary Document Uploaded 2016-05-26 Repair queued
Supporting Statement Part A 7.8.22 clean.docx Supporting Statement A Uploaded 2022-10-20 Available
Supporting Statement Part B 6.28.22.docx Supporting Statement B Uploaded 2022-10-20 Repair queued
Attachment A OMB_SEADs_6.27.22.pdf Supplementary Document Uploaded 2022-10-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
219252 Website portal for Submission of Supplemental Evidence and Data for Systematic Reviews Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
200 0
50 0
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Website portal for Submission of Supplemental Evidence and Data for Systematic Reviews 1 Attachment B Online Submission Form

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 0 0 195 0 5
Annual Time Burden (Hours) 50 0 0 49 0 1
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No