Information Collection

Opportunities for Extramural Collaborations at the NIH Clinical Center (Uo1) Cutomer Satisfaction Interviews

IC 221808 under ICR 201410-0925-002 · OMB 0925-0643.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0643 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Opportunities for Extramural Collaborations at the NIH Clinical Center (Uo1) Cutomer Satisfaction Interviews	Form and Instruction
1 Customer Satisfaction Interview protocol 0925-0643_CC_Customer_Satisfaction_interview_protocol.docx	Form and Instruction
0925-0643_CC_Customer_ Satisfaction_ Interview_application.docx Fast track Customer Satisfaction Interview application	IC Document
0925-0643_CC_Custome_ Satisfaction_ Interview_Invite.docx Customer Satisfaction Interview Invite	IC Document

IC Title:

Opportunities for Extramural Collaborations at the NIH Clinical Center (Uo1) Cutomer Satisfaction Interviews

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	Customer Satisfaction Interview protocol	0925-0643_CC_Customer_Satisfaction_interview_protocol.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast track Customer Satisfaction Interview application	0925-0643_CC_Customer_ Satisfaction_ Interview_application.docx	06/06/2016
Customer Satisfaction Interview Invite	0925-0643_CC_Custome_ Satisfaction_ Interview_Invite.docx	06/06/2016

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