Information Collection

LRN Lab Director Cover Letter - UT Baseline REMINDER

IC 217835 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⚠️ Notice: This information collection may be referencing outdated material.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 D4 LRN cover letter for survey Reminder UT 04022015 V2.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	LRN Lab Director Cover Letter - UT Baseline REMINDER	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 D4 LRN cover letter for survey Reminder UT 04022015 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.