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Appendix B: Post-Test Survey
Solar Cell: A Mobile UV Manager for Smart Phones (NCI)
OMB: 0925-0660
IC ID: 202041
OMB.report
HHS/NIH
OMB 0925-0660
ICR 201204-0925-001
IC 202041
( )
Documents and Forms
Document Name
Document Type
Form 2
Appendix B: Post-Test Survey
Form and Instruction
2 Solar Cell Posttest
Appen_B_Solar Cell Posttest_04092012.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Appendix B: Post-Test Survey
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 and Instruction
2
Solar Cell Posttest
Appen_B_Solar Cell Posttest_04092012.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
245
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
245
0
245
0
0
0
Annual IC Time Burden (Hours)
163
0
163
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.