ClinVar Submission Survey 2021 (NLM)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	ClinVar Submission Survey 2021 (NLM)	Agency IC Tracking Number:

IC Status: Unchanged

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
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 %

	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

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.