Information Collection

NIST Clinical Quality Assurance Program Impact and Needs Assessment Questionnaire

IC 209942 under ICR 201207-0693-002 · OMB 0693-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0033 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0693-0033-NIST-QAP-Questionnaire-1-9-14.docx	Other-Questionnaire
0693-0033-NIST-ClinicalQualityAssurance-Assessment-FourStandardSurveyQuestions-1-9-14.docx NIST ClinQAP Impact & Needs Assessment Questionniare - Supporting Statement	IC Document

IC Title:

NIST Clinical Quality Assurance Program Impact and Needs Assessment Questionnaire

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
Other-Questionnaire			0693-0033-NIST-QAP-Questionnaire-1-9-14.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIST ClinQAP Impact & Needs Assessment Questionniare - Supporting Statement	0693-0033-NIST-ClinicalQualityAssurance-Assessment-FourStandardSurveyQuestions-1-9-14.docx	01/09/2014

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