Form 1 NLM Survey Instument

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (OD/OER)

NLM DIRLINE_survey instrument_fast track request (2)

Web-based Survey of DIRLINE database (NLM)

OMB: 0925-0648

Document [docx]
Download: docx | pdf

OMB Control Number: 0925-0648

Expiration Date: 01/2015



Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.

__________________________________________________________________________________

1. How do you visit DIRLINE?

  • This is my first time

  • Less than seven times a year

  • Once a month

  • Once a day

  • More than once a day

Comments:

Text box.



2. For what purpose are you using DIRLINE today?

  • Professional. I am using DIRLINE as part of work duties.

  • Personal. I am using DIRLINE to assist a friend, family member, or associate.

If the survey participant chooses “Professional” in question #2, then question #3 appears. If “Personal” is selected then question #3 is bypassed and question #4 appears. The question numbering is not disrupted.

3. What is your profession?

  • Medical or Health Librarian/informationist

  • Health care provider

  • Public health professional

  • Public librarian

  • Other (please specify)

Text box.

4. I was looking for organizations that are:


Agree

Neither agree or disagree

Disagree

International




National




State




City, county, local




Comments:

Text box.


5. How satisfied are you with the results of your most recent search in DIRLINE?

  • Very satisfied

  • Somewhat satisfied

  • Neutral

  • Somewhat dissatisfied

  • Very dissatisfied

Comments:

Text box.



6. Did you find the following information useful in the DIRLINE record?


Strongly agree

Agree

Neither agree or disagree

Disagree

Strongly disagree

Mailing address






Telephone/Fax numbers






Email address






Website URL






Abstract






Type of Organization






National Network of Libraries of Medicine Region






MeSH headings






Other keywords








File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorNDP
File Modified0000-00-00
File Created2021-01-31

© 2024 OMB.report | Privacy Policy