epidemiology and Genomics Research Program (EGRP) Communications Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 epidemiology and Genomics Research Program (EGRP) Communications Survey Form and Instruction
1 Attachment 1 EGRP Communications Survey Attachment 1 EGRP Communications Survey.pdf Form and Instruction
Fast-Track_Request_EGRPrevised 12.10.14.docx Fast Track Template for EGRP IC Document
Attachment 2 Invitations.doc Attachment 2 Invitations IC Document

Information Collection (IC) Details

IC Title:	epidemiology and Genomics Research Program (EGRP) Communications 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	Attachment 1 EGRP Communications Survey	Attachment 1 EGRP Communications 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: 500	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	500	500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Template for EGRP	Fast-Track_Request_EGRPrevised 12.10.14.docx	12/15/2014
Attachment 2 Invitations	Attachment 2 Invitations.doc	12/15/2014

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