NLM Distance Learning Mentoring Program Study

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

OMB: 0925-0476

IC ID: 213754

Information Collection (IC) Details

View Information Collection (IC)

NLM Distance Learning Mentoring Program Study
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Instruction rating Instrument Attachment 1_ NLM LHC - Instruction Rating Instrument.doc No   Paper Only
Form and Instruction 2 Essay Completion Instrument Attachment 2_ NLM LHC - Essay Completion Instrument.docx No   Paper Only
Form and Instruction 3 General Inventory Instrument Attachment 3_ NLM LHC - General Inventory Instrument (Kuder Screen Shots).pdf Yes Yes Fillable Fileable
Form and Instruction 4 Health Inventory Instrument Attachment 4_ NLM LHC - Health Inventory Instrument.docx Yes Yes Paper Only

Health Health Care Services

 

50 0
   
Individuals or Households
 
   80 %

  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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 188 0 188 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NLM Distance Learning GC Form NLM GC form_ Distance Learning Mentoring_Nov 2014.doc 11/06/2014
Mini SSA NLM Distance Learning Mentoring Program Study NLM LHC SSA _Generic Sub-study Nov 2014.docx 11/06/2014
Mini SSB NLM Distance Learning Mentoring Program Study NLM LHC SSB_Generic Sub-study Nov 2014.doc 11/06/2014
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