Family Support for Children with Serious Illnesses

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

OMB: 0925-0653

IC ID: 214723

Information Collection (IC) Details

View Information Collection (IC)

Family Support for Children with Serious Illnesses
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Survey Screenshots Appendix A Feedback Instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

 

100 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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast-Track Template NINR_0925-0653_FastTrackGenericSubStudyClearance_January2015(revised).docx 01/22/2015
Invitation Email Appendix B Outreach Language.docx 01/22/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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