Form 1 Weekend Use Nov 2017 Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

Weekend Use Nov 2017 survey final

NIH Library Survey: Weekend Library Use

OMB: 0925-0648

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NIH Library Survey
Weekend Library Use

The NIH Library is conducting a brief survey to determine
the reasons our users visit the physical space on the weekends.
We would appreciate having you answer the following questions.
All responses will be anonymous. Completed surveys can be dropped in
the survey box at the NIH Library Information Desk.

NIH Library Weekend Use Survey
Date:
1. What is the purpose of your visit to the NIH Library today?

2. What is your affiliation?
	

NIH Institute or Center:

	

Non-NIH

3. How long do you plan to be in the NIH Library today?
	

Less than 1 hour

	

1-2 hours

	

2-3 hours

	

3 or more hours

4. Comments (optional):

Burden Disclosure: Public reporting burden for this collection of information is estimated to average 2 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:
NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA#0925-0648.
Do not return the completed form to this address.


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