User Satisfaction Survey for MICAD

Request for Generic Clearance to Conduct Voluntary Customer/Partner Surveys

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	User Satisfaction Survey for MICAD	Agency IC Tracking Number:

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	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 %

	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

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.