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NASA TREAT Astronauts Act
NASA TREAT Astronauts Act
OMB: 2700-0171
IC ID: 235920
OMB.report
NASA
OMB 2700-0171
ICR 202306-2700-002
IC 235920
( )
Documents and Forms
Document Name
Document Type
2700-0171 2023 TREAT Astronaut Act screenshots (1).docx
Electronic Medical Records System
Other-System screenshots
2700-0171 2023 TREAT Astronaut Act screenshots (1).docx
Electronic Medical Records System
Other-System screenshots
2700-0171 TREAT Astronaut Act text.docx
Electronic Medical Records System
Other-System text
2700-0171 TREAT Astronaut Act text.docx
Electronic Medical Records System
Other-System text
nasa_10hims.docx
10 Health Information Management Systems
IC Document
nasa_10hims.docx
10 Health Information Management Systems
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NASA TREAT Astronauts Act
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Other-System screenshots
2700-0171 2023 TREAT Astronaut Act screenshots (1).docx
Electronic Medical Records System
Yes
Yes
Fillable Fileable
Other-System text
2700-0171 TREAT Astronaut Act text.docx
Electronic Medical Records System
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Science and Innovation
Subfunction:
Scientific and Technological Research and Innovation
Privacy Act System of Records
Title:
Health Information Management System 10 HIMS
FR Citation:
86 FR 71097
Number of Respondents:
175
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
175
0
0
0
175
0
Annual IC Time Burden (Hours)
88
0
0
0
88
0
Annual IC Cost Burden (Dollars)
4,375
0
0
0
4,375
0
Documents for IC
Title
Document
Date Uploaded
10 Health Information Management Systems
nasa_10hims.docx
05/13/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.