Analysis of Feedback from NIH SBIR and STTR Commercialization Assistance Program (CAP) Participants

GENERIC CLEARANCE FOR SURVEYS OF THE OFFICE OF EXTRAMURAL RESEARCH (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0627 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Analysis of Feedback from NIH SBIR and STTR Commercialization Assistance Program (CAP) Participants Form and Instruction
1 CAP Feedback Form CAP_Feedback_Form_Screenshots_12.29.15.pdf Form and Instruction
CAP_Feedback_Form_Mini_Supporting_Statement_2016 FIN2.docx Mini SSA IC Document

Information Collection (IC) Details

IC Title:	Analysis of Feedback from NIH SBIR and STTR Commercialization Assistance Program (CAP) Participants	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	CAP Feedback Form	CAP_Feedback_Form_Screenshots_12.29.15.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	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	80	80
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mini SSA	CAP_Feedback_Form_Mini_Supporting_Statement_2016 FIN2.docx	01/06/2016

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