Information Collection

BLAST 2023 Survey (NLM)

IC 260050 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⚠️ Notice: This information collection may be referencing outdated material.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 BLAST 2023 Survey (NLM)	Form and Instruction
1 Survey BLAST Survey Instrument 5_8_2023.pdf	Form and Instruction
NLM ICR Fast Track BLAST Survey 5_3_2023.docx Template	IC Document
BLAST email and banner 5_3_2023.docx Email and Banner	IC Document

IC Title:

BLAST 2023 Survey (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 and Instruction	1	Survey	BLAST Survey Instrument 5_8_2023.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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	1,000	1,000
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template	NLM ICR Fast Track BLAST Survey 5_3_2023.docx	05/08/2023
Email and Banner	BLAST email and banner 5_3_2023.docx	05/08/2023

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