Awareness and Preception Survey for BGT-NBS MMWR CE Ad in Genetics in Medicine

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0974 can be found here:

Documents and Forms

Document Name Document Type
MMWR CE ad survey GIM screenshots 3-10-2015.docx Other-survey
PRA fast-track form_0920-0974_MMWR CE ad GIM 3-5-2015.docx Request for Approval IC Document
BGT-NBS MMWR CE ad survey_GIM_blast email to SIMD 03-05-2015.docx Blast E-mail IC Document

Information Collection (IC) Details

IC Title:	Awareness and Preception Survey for BGT-NBS MMWR CE Ad in Genetics in Medicine	Agency IC Tracking Number:	15TR

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
Other-survey			MMWR CE ad survey GIM screenshots 3-10-2015.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	PRA fast-track form_0920-0974_MMWR CE ad GIM 3-5-2015.docx	03/13/2015
Blast E-mail	BGT-NBS MMWR CE ad survey_GIM_blast email to SIMD 03-05-2015.docx	03/13/2015

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