Information Collection

Comprehensive Systems of Care for Sickle Cell Disease Roundtable Series - Post Virtual Event Survey (HHS OMH)

IC 280768 under ICR 202409-0990-001 · OMB 0990-0379.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HHS OMH SCD Roundtable Session Survey (v 1.0)_2026-06-04.pdf	Other-Feedback Survey
HHS OMH SCD Roundtable Sessions_Part 1 and Part 2.pdf HHS OMH Roundtable Sessions (Part 1 and Part 2)	IC Document
0990-0379 Generic Clearance Submission Memo (HHS OMH SCD Roundtable Session Survey)_v1.0_26-06-04.pdf Fast Track Generic Memo	IC Document

IC Title:

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
Other-Feedback Survey					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

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	240	240
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
HHS OMH Roundtable Sessions (Part 1 and Part 2)		06/04/2026
Fast Track Generic Memo		06/04/2026

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

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