NINDS Common Data Elements (CDE) Survey

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

Documents and Forms

Document Name Document Type
Form 1 NINDS Common Data Elements (CDE) Survey Form and Instruction
1 CDE SurveyMonkey Survey CDE SurveyMonkey_Survey.pdf Form and Instruction
NINDS CDE_OMB fast track application.docx NINDS CDE Fast Track Application IC Document

Information Collection (IC) Details

IC Title:	NINDS Common Data Elements (CDE) Survey	Agency IC Tracking Number:

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	1	CDE SurveyMonkey Survey	CDE SurveyMonkey_Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 544	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	544	544
Annual IC Time Burden (Hours)	91	91
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NINDS CDE Fast Track Application	NINDS CDE_OMB fast track application.docx	04/15/2016

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