Information Collection

ScHARe Platform Registration Form

IC 257955 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⚠️ Notice: This information collection may be referencing outdated material.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 ScHARe Platform Registration Form	Form and Instruction
Form 1 ScHARe Platform Registration Form	Form and Instruction
1 Platform Registration Form ScHARe Platform Registration Form.docx	Form and Instruction
1 Platform Registration Form ScHARe Platform Registration Form.docx	Form and Instruction
2 Think a thon ScHARe Think-a-Thons Registration Form.docx	Form and Instruction
2 Think a thon ScHARe Think-a-Thons Registration Form.docx	Form and Instruction
ScHARe Template.docx Template	IC Document
ScHARe Template.docx Template	IC Document

IC Title:

ScHARe Platform Registration Form

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 and Instruction	1	Platform Registration Form	ScHARe Platform Registration Form.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	Think a thon	ScHARe Think-a-Thons Registration Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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	500	500
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template	ScHARe Template.docx	01/18/2023

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