Information Collection

Basic electronic survey to inform development of a nursing research brochure (NINR)

IC 230693 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⚠️ Notice: This information collection may be referencing outdated material.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 Basic electronic survey to inform development of a nursing research brochure (NINR)	Form and Instruction
1 NINR Survey instrument Appendix A_NINR Survey Instrument_updated.docx	Form and Instruction
1 NINR Survey screenshots Appendix A_NINR Survey Screenshots_updated.pdf	Form and Instruction
Fast Track_NINR Brochure_3_13_18.doc Fast Track NINR Brochure	IC Document
Appendix B_Survey Invitation Email Screenshot_updated.pdf Survey Invitation Email screenshot	IC Document

IC Title:

Basic electronic survey to inform development of a nursing research brochure (NINR)

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	NINR Survey instrument	Appendix A_NINR Survey Instrument_updated.docx		Yes	Yes	Fillable Fileable
Form and Instruction	1	NINR Survey screenshots	Appendix A_NINR Survey Screenshots_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: 100

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	100	100
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track NINR Brochure	Fast Track_NINR Brochure_3_13_18.doc	03/13/2018
Survey Invitation Email screenshot	Appendix B_Survey Invitation Email Screenshot_updated.pdf	03/13/2018

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