Information Collection

Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A & B)

IC 204294 under ICR 201209-0925-003 · OMB 0925-0665.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0665 can be found here:

Documents and Forms

Document Name Document Type
Form Attachment A3.3 Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A & B) Form and Instruction
Attachment A3.3 Screenshots of Customer Satisfaction Online Survey: PI ( Attachment A.3.3 - Screenshots Customer Satisfaction Online Survey for Applicants (Principal Investigators).pdf Form and Instruction
Attachment A.3.1 - Customer Satisfaction Online Survey for Applicants (Principal Investigators).doc Attachment 3.1 Customer Satisfaction On-line Survey: PI (paper version) IC Document
Attachment B.1.1 - Protocols Customer Satisfaction Survey Applicant.doc On-line Survey Protocols IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A & B)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment A3.3	Screenshots of Customer Satisfaction Online Survey: PI (Ver A&B)	Attachment A.3.3 - Screenshots Customer Satisfaction Online Survey for Applicants (Principal Investigators).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 3.1 Customer Satisfaction On-line Survey: PI (paper version)	Attachment A.3.1 - Customer Satisfaction Online Survey for Applicants (Principal Investigators).doc	09/17/2012
On-line Survey Protocols	Attachment B.1.1 - Protocols Customer Satisfaction Survey Applicant.doc	09/26/2012

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