Information Collection

User Survey for IHM database and website

IC 206583 under ICR 201112-0925-001 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 User Survey for IHM database and website	Form and Instruction
1 IHM Survey NLM IHM SurveyMonkey screen shot.pdf	Form and Instruction
NIH fast track clearance request - NLM HMD IHM Survey.docx NIH fast track clearance request - NLM HMD IHM Survey	IC Document
NLM HMD IHM survey invite.docx NLM HMD IHM survey invite	IC Document

IC Title:

User Survey for IHM database and website

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	IHM Survey	NLM IHM SurveyMonkey screen shot.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	100	0	0	0	0	0
Annual IC Time Burden (Hours)	8	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
NIH fast track clearance request - NLM HMD IHM Survey	NIH fast track clearance request - NLM HMD IHM Survey.docx	04/12/2013
NLM HMD IHM survey invite	NLM HMD IHM survey invite.docx	04/12/2013

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