Information Collection

Pragmatic & Group-Randomized Trials (GRT) in Public Health & Medicine Participant Feedback Survey: Parts 1-7

IC 224454 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⚠️ Notice: This information collection may be referencing outdated material.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 Pragmatic & Group-Randomized Trials (GRT) in Public Health & Medicine Participant Feedback Survey: Parts 1-7	Form
1 MOOC Survey SurveyMonkey MOOC Survey Part 1 Updated.pdf	Form
Screenshot of Question 4, Parts 1-7.docx Screenshot variance of Question 4	IC Document
Fast Track Template 2015 - MOOC Evaluations Revised_11102016_v2.doc Fast Track Template for GRT MOOC	IC Document

IC Title:

Pragmatic & Group-Randomized Trials (GRT) in Public Health & Medicine Participant Feedback Survey: Parts 1-7

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	1	MOOC Survey	SurveyMonkey MOOC Survey Part 1 Updated.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	700	700
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Screenshot variance of Question 4	Screenshot of Question 4, Parts 1-7.docx	11/17/2016
Fast Track Template for GRT MOOC	Fast Track Template 2015 - MOOC Evaluations Revised_11102016_v2.doc	11/22/2016

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