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Data specialist/technolgist from public government individuals, private
Request to Solicit Public Input to Nominate Non-federal Health and Health Care Data Sets and Applications For Listing on Healthdata.gov
OMB: 0990-0377
IC ID: 198313
OMB.report
HHS/HHSDM
OMB 0990-0377
ICR 201106-0990-004
IC 198313
( )
Documents and Forms
Document Name
Document Type
Form 0990
Data specialist/technolgist from public government individuals, private
Form
0990 OS
Datasource Pg1.png
Form
0990 OS
Datasource Pg2.png
Form
0990 OS
Datasource Pg3.png
Form
0990 OS
PRA V2.png
Form
0990 OS
Tools Pg1.png
Form
0990 OS
Tools Pg2.png
Form
0990 OS
Tools Pg3.png
Form
0990-Data_gov_PIA_for_website_May_2011.docx
0990-Data_gov_PIA_for_website_May_2011
IC Document
0990-Request to Solicit Public Input__Appendix A.doc
0990-Request to Solicit Public Input__Appendix A
IC Document
0990Copy of metadata template non federal.xls
0990Copy of metadata template non federal
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Data specialist/technolgist from public government individuals, private
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
Form
0990
OS
Tools Pg2.png
Yes
Yes
Fillable Fileable
Form
0990
OS
Tools Pg3.png
Yes
Yes
Fillable Fileable
Form
0990
OS
Datasource Pg1.png
Yes
Yes
Fillable Fileable
Form
0990
OS
Datasource Pg2.png
Yes
Yes
Fillable Fileable
Form
0990
OS
Datasource Pg3.png
Yes
Yes
Fillable Fileable
Form
0990
OS
PRA V2.png
Yes
Yes
Fillable Fileable
Form
0990
OS
Tools Pg1.png
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40
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
40
0
40
0
0
0
Annual IC Time Burden (Hours)
10
0
10
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
0990-Data_gov_PIA_for_website_May_2011
0990-Data_gov_PIA_for_website_May_2011.docx
06/27/2011
0990-Request to Solicit Public Input__Appendix A
0990-Request to Solicit Public Input__Appendix A.doc
06/27/2011
0990Copy of metadata template non federal
0990Copy of metadata template non federal.xls
06/27/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.