Information Collection

Health Care Group Quarters Addendum

IC 262238 under ICR 202508-0607-002 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Health Care Group Quarters Addendum	Form and Instruction
Form 1 Recruitment emails Health Care Group Quarters Addendum	Form and Instruction
1 Recruitment emails Enclosure 2 - GQ health care cognitive testing recruitment emails.docx	Form and Instruction
1 Recruitment emails Enclosure 2 - GQ health care cognitive testing recruitment emails.docx	Form and Instruction
OMB Memo - First Addendum to notify OMB of change of recruiting method - GQ health care cognitive testing - v2.docx OMB Memo	IC Document
OMB Memo - First Addendum to notify OMB of change of recruiting method - GQ health care cognitive testing - v2.docx OMB Memo	IC Document
Enclosure 1 - GQ health care cognitive testing OMB request letter.docx Initial OMB Memo for previosly approved package	IC Document
Enclosure 1 - GQ health care cognitive testing OMB request letter.docx Initial OMB Memo for previosly approved package	IC Document

IC Title:

Health Care Group Quarters Addendum

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				No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo		09/19/2023
Initial OMB Memo for previosly approved package		09/19/2023

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

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