Information Collection

The Annual NIH Pain Consortium Symposium Feedback (Not For Profit)

IC 217029 under ICR 201501-0925-004 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 The Annual NIH Pain Consortium Symposium Feedback (Not For Profit)	Form and Instruction
1 Pain Survey PainC2015SurveyMonkey.pdf	Form and Instruction
NINDSFastTrackPainC2015.doc Fast Track Submission Form -Not for profit	IC Document

IC Title:

The Annual NIH Pain Consortium Symposium Feedback (Not For Profit)

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	Pain Survey	PainC2015SurveyMonkey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	20	20
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Submission Form -Not for profit	NINDSFastTrackPainC2015.doc	06/15/2015

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