Information Collection

User Satisfaction Survey for Principal Investigators of Other Screening/Probe Production Centers

IC 188070 under ICR 200810-0925-004 · OMB 0925-0476.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0476 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 User Satisfaction Survey for Principal Investigators of Other Screening/Probe Production Centers	Form and Instruction
1 survey NLM Survey Instrument.rtf	Form and Instruction
2 revised survey Revised Survey NLM.rtf	Form and Instruction
NLM GC Form.docx NLM GC Form	IC Document
NLM Mini-Supporting Statement.docx NLM Mini-Supporting Statement	IC Document
Terms of Clearance.pdf Terms of Clearance	IC Document

IC Title:

User Satisfaction Survey for Principal Investigators of Other Screening/Probe Production Centers

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	survey	NLM Survey Instrument.rtf		Yes	Yes	Paper Only
Form and Instruction	2	revised survey	Revised Survey NLM.rtf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NLM GC Form	NLM GC Form.docx	02/12/2009
NLM Mini-Supporting Statement	NLM Mini-Supporting Statement.docx	02/12/2009
Terms of Clearance	Terms of Clearance.pdf	02/26/2009

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