Information Collection

Annual Lab Survey (NIA)

IC 256439 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⚠️ Notice: This information collection may be referencing outdated material.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 Annual Lab Survey (NIA)	Form and Instruction
1 2023 Annual Lab Survey 2023 Annual Lab Survey Screenshots.pdf	Form and Instruction
Annaul Lab Recruitment email.pdf Recruitment Email	IC Document
Annual Lab Survey Fast Track Clearance 2023.pdf Fast Track Template	IC Document

IC Title:

Annual Lab Survey (NIA)

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 and Instruction	1	2023 Annual Lab Survey	2023 Annual Lab Survey Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 642

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	642	642
Annual IC Time Burden (Hours)	107	107
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recruitment Email	Annaul Lab Recruitment email.pdf	10/14/2022
Fast Track Template	Annual Lab Survey Fast Track Clearance 2023.pdf	10/14/2022

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