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Health and Genetics from YOUR Point of View
Genomics and Society Public Surveys (NHGRI)
OMB: 0925-0700
IC ID: 209618
OMB.report
HHS/NIH
OMB 0925-0700
ICR 201403-0925-011
IC 209618
( )
Documents and Forms
Document Name
Document Type
Form 1
Health and Genetics from YOUR Point of View
Form and Instruction
1 Screenshot: Health and Genetics from YOUR Point of View
Attach 9. Screenshot Health and Genetics from YOUR Point of View-Klein.pdf
Form and Instruction
Attach 8. Survey Health and Genetics from YOUR Point of View-Klein.pdf
Attach 8
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Health and Genetics from YOUR Point of View
Agency IC Tracking Number:
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 and Instruction
1
Screenshot: Health and Genetics from YOUR Point of View
Attach 9. Screenshot Health and Genetics from YOUR Point of View-Klein.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
30,000
0
30,000
0
0
0
Annual IC Time Burden (Hours)
12,500
0
12,500
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attach 8
Attach 8. Survey Health and Genetics from YOUR Point of View-Klein.pdf
03/24/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.