NIH External Constituency Surveys

GENERIC CLEARANCE FOR SURVEYS OF THE OFFICE OF EXTRAMURAL RESEARCH (OD)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	NIH External Constituency Surveys	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.