Information Collection

Annual Lab Survey (NIA)

IC 272650 under ICR 202308-0925-001 · OMB 0925-0778.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0778 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Survey Annual Lab Survey (NIA)	Form
1 Survey Survey Screenshots NIA.pdf	Form
0925-0778 - Generic Regular Sub-Study NIA.docx Template	IC Document
NIA Lab Survey emails.pdf Email Correspondence	IC Document

IC Title:

Annual Lab Survey (NIA)

Agency IC Tracking Number:

IC Status: New

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				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 55

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template		11/25/2024
Email Correspondence		11/25/2024

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

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