Information Collection

Providing other specimens

IC 240026 under ICR 202503-0920-004 · OMB 0920-1316.

Documents and Forms

Document Name Document Type
Att9 Urine Lung function Nasal swabs 20200212.docx Instruction
Att9 Urine Lung function Nasal swabs 20200212.docx Instruction
0920-1316 Change Request Att6 How to Collect Urine 06212023.docx Additional Sample Collection - Revised 10JUL2023 IC Document
0920-1316 Change Request Att6 How to Collect Urine 06212023.docx Additional Sample Collection - Revised 10JUL2023 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Providing other specimens	Agency IC Tracking Number:	0920-1316

Is this a Common Form? No		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
Instruction			Att9 Urine Lung function Nasal swabs 20200212.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title: Epidemiologic studies and surveillance of disease problems.	FR Citation: 57 FR 62812

Number of Respondents: 67	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	670	670
Annual IC Time Burden (Hours)	670	670
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Additional Sample Collection - Revised 10JUL2023	0920-1316 Change Request Att6 How to Collect Urine 06212023.docx	07/11/2023

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