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National Cache Medial Supply Kit Assessment
DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1090-0011
IC ID: 233803
OMB.report
DOI/ASPMB
OMB 1090-0011
ICR 201805-1090-001
IC 233803
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:
2024-07-23 - Revision of a currently approved collection
2022-01-20 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
OS FT-107 National Cache Medical Kit Review.pdf
Other-Web Form
OS FT-107 DI-4011 National Cache Medical Kit Review.pdf
Request for Approval
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Cache Medial Supply Kit Assessment
Agency IC Tracking Number:
2018-OS-FT39
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
Other-Web Form
OS FT-107 National Cache Medical Kit Review.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Preparedness and Planning
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
200
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
200
0
200
0
0
0
Annual IC Time Burden (Hours)
50
0
50
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
OS FT-107 DI-4011 National Cache Medical Kit Review.pdf
10/31/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.