Information Collection

MPV Micronutrients MBA Data Submission Form (Private Research Lab)

IC 255937 under ICR 202602-0920-004 · OMB 0920-1389.

Documents and Forms

Document Name Document Type
MPV Micronutrients MBA Enrollment Section on Data Submission Form MPV Micronutrients MBA Data Submission Form (Private Research Lab) Form
MPV Micronutrients MBA Enrollment Section on Data Submis Att3h MPV Micronutrients Enrollment and Data Submission Form_final.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MPV Micronutrients MBA Data Submission Form (Private Research Lab)	Agency IC Tracking Number:	0920-1389

Is this a Common Form? No		IC Status: Modified

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
Form	n/a	MPV Micronutrients MBA Enrollment Section on Data Submission Form	Att3h MPV Micronutrients Enrollment and Data Submission Form_final.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7	-33	40
Annual IC Time Burden (Hours)	11	-19	30
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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