Information Collection

User Satisfaction Surevy for MICAD Users

IC 203727 under ICR 201206-0925-003 · OMB 0925-0476.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0476 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 User Satisfaction Surevy for MICAD Users	Form and Instruction
1 Survey for MICAD Users screenshots MICAD_survey_sceenshots_7_18_2012[1].pdf	Form and Instruction
MICAD 2012 - NLM Mini-Supporting Statement_ML Surveys_MICAD Users August 2012 FINAL.doc Mini Supporting Statement	IC Document
MICAD 2012 - NLM Generic Clearance Request Form_MICAD Survey July 2012.doc Generic Clearance Request Form	IC Document

IC Title:

User Satisfaction Surevy for MICAD Users

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	Survey for MICAD Users screenshots	MICAD_survey_sceenshots_7_18_2012[1].pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini Supporting Statement	MICAD 2012 - NLM Mini-Supporting Statement_ML Surveys_MICAD Users August 2012 FINAL.doc	08/15/2012
Generic Clearance Request Form	MICAD 2012 - NLM Generic Clearance Request Form_MICAD Survey July 2012.doc	08/15/2012

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