Opportunities for Extramural Collaborations at the NIH Clinical Center (U01) Customer Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NICHD)

OMB: 0925-0643

IC ID: 212869

Information Collection (IC) Details

View Information Collection (IC)

Opportunities for Extramural Collaborations at the NIH Clinical Center (U01) Customer Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Online customer satisfaction survey screen shots 0925-0643_CC Customer Satisfaction Survey Screenshots_8-13-14.docx Yes Yes Fillable Fileable

Health Health Care Services

 

200 0
   
Individuals or Households
 
   100 %

  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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast-Track Template 0925-0643_CC Customer Satisfaction Survey_Generic Template (2).doc 08/28/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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