Information Collection

NIH External Constituency Surveys

IC 200810 under ICR 201103-0925-002 · OMB 0925-0627.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0627 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 NIH External Constituency Surveys	Form and Instruction
1 Applicant Survey Attach 1 - Applicant Web-based Survey Instrument.pdf	Form and Instruction
2 Reviewer Survey Attach 2 - Reviewer Web-based Survey Instrument.pdf	Form and Instruction
3 Advisory Council Survey Attach 3 - Advisory Council Web-Based Survey Instrument.pdf	Form and Instruction
OMB Mini Supporting Statements A for Phase 2.doc OMB Mini Supporting Statements A for Phase 2	IC Document
OMB Mini Supporting Statements B - Phase 2.doc OMB Mini Supporting Statements B - Phase 2	IC Document
generic_clearance_form-GJ3.docx generic_clearance_form-GJ3	IC Document
Attach 4 - Privacy Act Determination for NIH Enhancing Peer Review Initiative Surveys 2011.doc Attach 4 - Privacy Act Determination for NIH Enhancing Peer Review Initiative Surveys 2011	IC Document
Attach 5 - IRB Exemption Letter.rtf Attach 5 - IRB Exemption Letter	IC Document
Attach 6 - Phase 2 Lead Letters_Applicant_Reviewer_Advisory Council.doc Attach 6 - Phase 2 Lead Letters_Applicant_Reviewer_Advisory Council	IC Document
Attach 7 - Email Invitations_Applicant_Reviewer_Advisory Council.docx Attach 7 - Email Invitations_Applicant_Reviewer_Advisory Council	IC Document

IC Title:

NIH External Constituency Surveys

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	Advisory Council Survey	Attach 3 - Advisory Council Web-Based Survey Instrument.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	1	Applicant Survey	Attach 1 - Applicant Web-based Survey Instrument.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	Reviewer Survey	Attach 2 - Reviewer Web-based Survey Instrument.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,710

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	4,710	0	0	0	0	0
Annual IC Time Burden (Hours)	2,293	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
OMB Mini Supporting Statements A for Phase 2	OMB Mini Supporting Statements A for Phase 2.doc	01/17/2012
OMB Mini Supporting Statements B - Phase 2	OMB Mini Supporting Statements B - Phase 2.doc	01/17/2012
generic_clearance_form-GJ3	generic_clearance_form-GJ3.docx	01/17/2012
Attach 4 - Privacy Act Determination for NIH Enhancing Peer Review Initiative Surveys 2011	Attach 4 - Privacy Act Determination for NIH Enhancing Peer Review Initiative Surveys 2011.doc	01/17/2012
Attach 5 - IRB Exemption Letter	Attach 5 - IRB Exemption Letter.rtf	01/17/2012
Attach 6 - Phase 2 Lead Letters_Applicant_Reviewer_Advisory Council	Attach 6 - Phase 2 Lead Letters_Applicant_Reviewer_Advisory Council.doc	01/17/2012
Attach 7 - Email Invitations_Applicant_Reviewer_Advisory Council	Attach 7 - Email Invitations_Applicant_Reviewer_Advisory Council.docx	01/17/2012

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