Information Collection

Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey

IC 231794 under ICR 201702-0925-001 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey Form
1 SeqSPACE survey question screenshots SeqSPACE survey question screenshots.pdf Form
Fast Track for SeqSPACE Survey (002).docx Fast Track for SeqSPACE survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey	Agency IC Tracking Number:

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
Form	1	SeqSPACE survey question screenshots	SeqSPACE survey question screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 152	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	152	152
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track for SeqSPACE survey	Fast Track for SeqSPACE Survey (002).docx	06/13/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.