Information Collection

ClinVar Submission Survey 2021 (NLM)

IC 248822 under ICR 202307-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 ClinVar Submission Survey 2021 (NLM)	Form
1 2021 ClinVar Survey 2021 NLM ClinVar Submission Survey Instrument.pdf	Form
2021 NLM Fast Track ICR ClinVar Submission Survey.docx fast track ClinVar Submission Survey 2021 (NLM)	IC Document
2021 NLM ClinVar Survey Pop_up.docx pop-up invite	IC Document

IC Title:

ClinVar Submission Survey 2021 (NLM)

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	2021 ClinVar Survey	2021 NLM ClinVar Submission Survey Instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track ClinVar Submission Survey 2021 (NLM)	2021 NLM Fast Track ICR ClinVar Submission Survey.docx	08/11/2021
pop-up invite	2021 NLM ClinVar Survey Pop_up.docx	08/11/2021

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