Information Collection

NLM Traveling Exhibition Host Venue Report

IC 257456 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NLM Traveling Exhibition Host Venue Report	Form
Form 1 NLM Traveling Exhibition Host Venue Report	Form
1 Traveling Exhibition Host Venue survey NLM Traveling Exhibition Host Venue Report Instrument_12_19_2022.pdf	Form
1 Traveling Exhibition Host Venue survey NLM Traveling Exhibition Host Venue Report Instrument_12_19_2022.pdf	Form
2 follow up call script Traveling Exhition Follow-up Call Script.docx	Form and Instruction
2 follow up call script Traveling Exhition Follow-up Call Script.docx	Form and Instruction
NLM Traveling Exhibition Host Venue Simple form 0925-0766 (1).docx sub-study for Traveling Exhibition Host survey	IC Document
NLM Traveling Exhibition Host Venue Simple form 0925-0766 (1).docx sub-study for Traveling Exhibition Host survey	IC Document
Traveling Exhibition Email (1).docx email	IC Document
Traveling Exhibition Email (1).docx email	IC Document

IC Title:

NLM Traveling Exhibition Host Venue Report

Agency IC Tracking Number:

IC Status: Unchanged

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	1	Traveling Exhibition Host Venue survey	NLM Traveling Exhibition Host Venue Report Instrument_12_19_2022.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	follow up call script	Traveling Exhition Follow-up Call Script.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	234	234
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
sub-study for Traveling Exhibition Host survey	NLM Traveling Exhibition Host Venue Simple form 0925-0766 (1).docx	12/19/2022
email	Traveling Exhibition Email (1).docx	12/19/2022

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