Assessment of the NIAID Supported Partnerships Program

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0668 can be found here:

Documents and Forms

Document Name Document Type
Form 4 Assessment of the NIAID Supported Partnerships Program Form and Instruction
1 Telephone follow up script SCREENER Partnerships Program Evaluation Telephone follow up script SCREENER 8.13....docx Form and Instruction
2 Paper Interview Survey Partnerships Program Evaluation Paper Survey Instrument July 31 2014.docx Form and Instruction
3 Telephone interview survey Partnerships Program Evaluation Telephone Script and Phone Survey Instru....docx Form and Instruction
4 Online Survey NIH_NIAID_DMID Partnerships Program Survey Screen Shots_2014-08-20.pdf Form and Instruction
generic_clearance_REV 8 27 2014 DMID Partnerships.doc Assessment of the NIAID Supported Partnerships Program IC Document
Partnerships Program Evaluation Email invitations 8.13.2014.docx Partnership Program Evaluation Email Invitations IC Document
Partnerships Program Evaluation Invitation letter to be sent with Paper ....docx Partnership Program Evaluation Letter sent with Paper IC Document

Information Collection (IC) Details

IC Title:	Assessment of the NIAID Supported Partnerships Program	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4	Online Survey	NIH_NIAID_DMID Partnerships Program Survey Screen Shots_2014-08-20.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	1	Telephone follow up script SCREENER	Partnerships Program Evaluation Telephone follow up script SCREENER 8.13....docx	Yes	Yes	Fillable Fileable
Form and Instruction	2	Paper Interview Survey	Partnerships Program Evaluation Paper Survey Instrument July 31 2014.docx	No		Paper Only
Form and Instruction	3	Telephone interview survey	Partnerships Program Evaluation Telephone Script and Phone Survey Instru....docx	No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 570	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	570	570
Annual IC Time Burden (Hours)	128	128
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Assessment of the NIAID Supported Partnerships Program	generic_clearance_REV 8 27 2014 DMID Partnerships.doc	08/27/2014
Partnership Program Evaluation Email Invitations	Partnerships Program Evaluation Email invitations 8.13.2014.docx	08/27/2014
Partnership Program Evaluation Letter sent with Paper	Partnerships Program Evaluation Invitation letter to be sent with Paper ....docx	08/27/2014

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