Genomic Epidemiology for Public Health Laboratories Workshop Assessment (FIC)

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⚠️ Notice: This information collection may be referencing outdated material.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 Genomic Epidemiology for Public Health Laboratories Workshop Assessment (FIC) Form
1 Genomic Epidemiology survey Genomic Epidemiology for Public Health Laboratories Workshop Evaluation.pdf Form
Fast Track EPS V2.docx fast track for Genomic Epidemiology Assessment IC Document
Email to Participants of Genomic Epidemiology for Public Health Laboratories Workshop (1).docx email invitation IC Document

Information Collection (IC) Details

IC Title:	Genomic Epidemiology for Public Health Laboratories Workshop Assessment (FIC)	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	Genomic Epidemiology survey	Genomic Epidemiology for Public Health Laboratories Workshop Evaluation.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0156 Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service	FR Citation: 67 FR 60742

Number of Respondents: 36	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	36	36
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for Genomic Epidemiology Assessment	Fast Track EPS V2.docx	01/26/2022
email invitation	Email to Participants of Genomic Epidemiology for Public Health Laboratories Workshop (1).docx	01/26/2022

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