Information Collection

Peer-to-Peer Survey

IC 252938 under ICR 202504-2900-007 · OMB 2900-0912.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0912 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Peer-to-Peer Surve Peer-to-Peer Survey	Form and Instruction
Form Peer-to-Peer Surve Peer-to-Peer Survey Peer-to-Peer Survey	Form and Instruction
Peer-to-Peer Surve Peer-to-Peer Survey Peer-to-Peer Survey Wireframes.pdf	Form and Instruction
Peer-to-Peer Surve Peer-to-Peer Survey P2P Survey 2025-04-30.docx	Form and Instruction

IC Title:

Peer-to-Peer Survey

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

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	Peer-to-Peer Survey				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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