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Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A and B)
Process Evaluation of the NIH Director's Early Independence Award Program (EIA)
OMB: 0925-0665
IC ID: 204294
OMB.report
HHS/NIH
OMB 0925-0665
ICR 201308-0925-004
IC 204294
( )
Documents and Forms
Document Name
Document Type
Form Attachment A3.3
Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A and 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 and B)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
150
0
0
0
0
150
Annual IC Time Burden (Hours)
38
0
0
0
0
38
Annual IC Cost Burden (Dollars)
0
0
0
0
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.