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Emergency Care First-Responders, Physicians, Other Health Care Providers
NLM Lost People-Finder System
OMB: 0925-0612
IC ID: 191875
OMB.report
HHS/NIH
OMB 0925-0612
ICR 201606-0925-007
IC 191875
( )
Documents and Forms
Document Name
Document Type
Form 1
Emergency Care First-Responders, Physicians, Other Health Care Providers
Form and Instruction
1 iPhone iPad Screenshots
Attachment 2 Screenshot Information Ver 04-4-2013.pdf
Form and Instruction
Attachment 1_NLM People Locator_Data Elements.docx
Attachment 1_NLM People Locator_Data Elements
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Emergency Care First-Responders, Physicians, Other Health Care Providers
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
iPhone iPad Screenshots
Attachment 2 Screenshot Information Ver 04-4-2013.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Emergency Response
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
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
0
0
-50,000
0
0
50,000
Annual IC Time Burden (Hours)
0
0
-2,500
0
0
2,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 1_NLM People Locator_Data Elements
Attachment 1_NLM People Locator_Data Elements.docx
07/08/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.