OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

NIH Community-Based Participatory Research (CBPR) Grant Programs: Customer Satisfaction Surveys

IC 221145 under ICR 201412-0925-002 · OMB 0925-0474.

Documents and Forms
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Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
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Information Collection (IC) Details

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NIH Community-Based Participatory Research (CBPR) Grant Programs: Customer Satisfaction Surveys
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 PI Satisfaction Survey Attachment A-CBPR PI Satisfaction Survey - screenshots 4-20-16.pdf Yes Yes Fillable Fileable
Form and Instruction 2 Grant PIs Satisfaction Survey Attachment B-Intervention Grant PIs Satisfaction Survey 4-18-16 - screenshots.pdf Yes Yes Fillable Fileable
Form and Instruction 3 Community Partners Satisfaction Survey Attachment C-CBPR Community Partners Satisfaction Survey screenshots 4-18-16 .pdf Yes Yes Fillable Fileable

Health Health Care Services

 

1,050 0
   
Individuals or Households
 
   100 %

  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 1,050 0 1,050 0 0 0
Annual IC Time Burden (Hours) 353 0 353 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Mini SSA CBPR-Mini Supporting Statement for CSR Generic Clearance 4_15_16.docx 04/20/2016
Privacy Impact Assessment NIH OD SurveyGizmo for CBPR PIA.docx 04/20/2016
E-mail Invitation Attachment D-Letter 1--OBSSR CBPR PI Customer Satisfaction Survey.docx 04/20/2016
Email Invitation Attachment E-Letter 2--OBSSR CBPR Community Partner Customer Satisfaction Survey.docx 04/20/2016
Email Invitation Attachment F-Letter 3--OBSSR Behavioral and Social Intervention Customer Satisfaction Survey.docx 04/20/2016
Follow-up Email Attachment G-Letter 4--Madrillon Survey Gizmo Link Follow Up.docx 04/20/2016
Email Reminder Attachment H-Letter 5--Madrillon Survey Gizmo Link Reminder.docx 04/20/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.