Information Collection

OLAW Online Seminar Dec 2021 Polling questions (OLAW/OD)

IC 250379 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⚠️ Notice: This information collection may be referencing outdated material.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 OLAW Online Seminar Dec 2021 Polling questions (OLAW/OD)	Form
1 Poll questions Revised Poll questions.docx	Form
Invitation.pdf invitation	IC Document
fast track template Customer feedback Survey OLAW Online seminar Dec 2021 (1).docx fast track template for Online Polling seminar	IC Document

IC Title:

OLAW Online Seminar Dec 2021 Polling questions (OLAW/OD)

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	Poll questions	Revised Poll questions.docx		No		Paper Only

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: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
invitation	Invitation.pdf	11/17/2021
fast track template for Online Polling seminar	fast track template Customer feedback Survey OLAW Online seminar Dec 2021 (1).docx	11/17/2021

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