Information Collection

NSQAP Data Submission Portal Molecular PT (Domestic)

IC 255954 under ICR 202602-0920-004 · OMB 0920-1389.

Documents and Forms

Document Name Document Type
NSQAP Data Submission Portal Molecular PT NSQAP Data Submission Portal Molecular PT (Domestic) Form
NSQAP Data Submission Portal Molecular PT Att 3m-III NSQAP Data Submission Portal Molecular PT.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NSQAP Data Submission Portal Molecular PT (Domestic)	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	NSQAP Data Submission Portal Molecular PT	Att 3m-III NSQAP Data Submission Portal Molecular PT.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 78	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	234	21	213
Annual IC Time Burden (Hours)	176	16	160
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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