Information Collection

User Satisfaction Survey for MICAD

IC 188924 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⚠️ Notice: This information collection may be referencing outdated material.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 MICAD	Form
1 survey NLM Survey Instrument_ML Surveys_MICAD Users.docx	Form
NLM Mini-Supporting Statement_ML Surveys_MICAD Users.docx NLM Mini-Supporting Statement_ML Surveys_MICAD Users	IC Document
NLM Generic Clearance Request_ML Surveys_MICAD Users.docx NLM Generic Clearance Request_ML Surveys_MICAD Users	IC Document

IC Title:

User Satisfaction Survey for MICAD

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	1	survey	NLM Survey Instrument_ML Surveys_MICAD Users.docx		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,063

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 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	1,063	0	0	0	0	0
Annual IC Time Burden (Hours)	18	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NLM Mini-Supporting Statement_ML Surveys_MICAD Users	NLM Mini-Supporting Statement_ML Surveys_MICAD Users.docx	04/22/2009
NLM Generic Clearance Request_ML Surveys_MICAD Users	NLM Generic Clearance Request_ML Surveys_MICAD Users.docx	04/22/2009

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