Generic Clearance Request Form

MICAD 2012 - NLM Generic Clearance Request Form_MICAD Survey July 2012.doc

Request for Generic Clearance to Conduct Voluntary Customer/Partner Surveys(NLM)

Generic Clearance Request Form

OMB: 0925-0476

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SUBMISSION OF INFORMATION COLLECTION

UNDER GENERIC CLEARANCES



DATE OF REQUEST: __07/18/2012____________


SUB AGENCY (I/C): National Library of Medicine


TITLE: _ Survey of MICAD (Molecular Imaging and Contrast Agent Database) Users__


GENERIC CLEARANCE UNDER OMB# ­ 0925-0476 EXP. DATE: 07/31/2015


ABSTRACT:

MICAD (Molecular Imaging and Contrast Agent Database) is a database funded through the NIH Common Fund as part of the NIH Roadmap Molecular Libraries and Imaging Initiative. MICAD is provided as an online resource through the National Library of Medicine. MICAD provides curated structured and free-text information on all published molecular imaging agents. The questions in this survey are intended to assess satisfaction levels with various components of MICAD, and the responses are expected to reveal gaps and highlight opportunities for enhancement. The information collected will increase our understanding of the levels of community satisfaction with MICAD, and identify how stakeholders are using the curated data available in MICAD. Stakeholder input is vital to address unique challenges that no other entity is likely to be able to successfully conduct. NIH wants to broadly advance the field, and in keeping with the missions of the individual institutes and the NIH and DHHS as a whole, to benefit and improve the health of the nation.















TOTAL ANNUAL BURDEN APPROVED: 3,250


BURDEN USED TO DATE: 0000


BURDEN THIS REQUEST: __10 hours________


IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?

______YES ______NO__X____N/A


OBLIGATION TO RESPOND:


____X__ VOLUNTARY


______ REQUIRED TO OBTAIN OR RETAIN BENEFITS


______ MANDATORY


HOW WILL THIS SURVEY BE OFFERED?


___X__ WEB SITE


_____ TELEPHONE INTERVIEW


_____ MAIL RESPONSE


_____ IN PERSON INTERVIEW


_____ OTHER: ___________________________________


CONTACT INFORMATION:


NAME: ___Anne Menkens________________________________________


TELEPHONE NUMBER: ___301-496-9531_________________________


EMAIL ADDRESS: [email protected]_______________________________

File Typeapplication/msword
File TitleINFORMATION COLLECTION REQUEST FOR GENERIC CLEARANCES
Authorcurriem
Last Modified ByPerryman
File Modified2012-08-14
File Created2012-08-14

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