Information Collection

Assessing Customer Satisfaction with the Extramural Research Program Services Office Serving NCCDPHP and NCBDDD

IC 215758 under ICR 201410-0920-001 · OMB 0920-0919.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Applicant Interview Guide Assessing Customer Satisfaction with the Extramural Research Program Services Office Serving NCCDPHP and NCBDDD	Form and Instruction
Panelist Interview Guide Assessing Customer Satisfaction with the Extramural Research Program Services Office Serving NCCDPHP and NCBDDD	Form and Instruction
Applicant Interview Guide A2. Interview Guide for Applicants_3 17 2015.docx	Form and Instruction
Panelist Interview Guide B2. Interview Guide for Panel Members_3 17 2015.docx	Form and Instruction
GenIC ERPOS_3 17 2015.docx ERPOS GenIC Request for Approval	IC Document
Applicable Laws or Regulations.docx Authorizing Legislation	IC Document
A1. Advance Email for Applicants_3 17 2015.docx Advance Email for Applicants	IC Document
B1. Advance Email for Panelists_3 17 2015.docx Advance Email for Panelists	IC Document

IC Title:

Agency IC Tracking Number:

15VH

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	None			None	Yes	No	Paper Only
Form and Instruction	None			None	Yes	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 42

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	42	42
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ERPOS GenIC Request for Approval		03/19/2015
Authorizing Legislation		03/19/2015
Advance Email for Applicants		03/19/2015
Advance Email for Panelists		03/19/2015

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

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