Community Health Maps Project User Survey

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

OMB: 0925-0648

IC ID: 215637

Information Collection (IC) Details

View Information Collection (IC)

Community Health Maps Project User Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Survey Screenshots NLM CHMP Survey Instrument (SurveyMonkey screen shots).pdf Yes Yes Fillable Fileable

Health Health Care Services

 

100 0
   
Private Sector Not-for-profit institutions
 
   0 %

  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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Template NIH fast track_generic_clearance_request_NLM CHMP survey.doc 03/10/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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