Information Collection

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

IC 219455 under ICR 201402-0925-002 · OMB 0925-0627.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.