Information Collection

LRN Lab Director Cover Letter - BCC Post

IC 217828 under ICR 201507-0920-012 · OMB 0920-1096.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1096 can be found here:

Documents and Forms

Document Name Document Type
Appendix C2 LRN cover letter for survey V2 BCC post- 04012015 V2.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	LRN Lab Director Cover Letter - BCC Post	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Instruction			Appendix C2 LRN cover letter for survey V2 BCC post- 04012015 V2.docx	NA	Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	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
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	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.