Information Collection Request

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

ICR 201512-0925-005 · OMB 0925-0668 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Post Conference Assessment--USJCMSP2019 screenshot Form and Instruction New Available
Form 1 WWW-WTPH survey screenshot Form and Instruction New Available
Form 1 WWW-WTHP survey screenshot Form New Available
Form 1 Inside-WTHP survey screenshots Form New Available
Form 1 Inside-WTPH-survey screenshot Form New Available
Form 1 IVN-WTPH-Survey Screenshot Form New Available
Form 1 IVN-WTPH-survey screenshot Form New Repair queued
Form 1 Order It Survey Form New Available
Form 1 Order It Survey Form New Available
Form 1 INRO Participant Survey screenshot Form and Instruction New Available
Form 1 ClinRegs Survey screenshot Form New Available
Form 2 ClinRegs Focus Group Form and Instruction New Available
Form 2 ClinRegs -focus group Form and Instruction New Repair queued
Form 1 ClinRegs Survey screenshot Form New Repair queued
Form 1 Post Conference Feedback screenshot Form New Available
Form 1 NIH Commons Credits Pilot Screenshots Form and Instruction New Available
Form 1 Georgia Writing Workshop Feedback Form Form New Available
Form 3 ABL Project Sasha Fierce Social worker IDI DG Form New Available
Form 2 ABL Project Sasha Fierce NGO IDI DG Form New Available
Form 1 ABL Project Sasha fierce Expert IDI DG Form and Instruction New Available
Form 1 Liberia Writing Workshop screenshot Form and Instruction New Available
Form 1 USJCP Meeting Feb 2017 Form and Instruction New Available
Form 2 NIH Questionaire Form and Instruction New Available
Form 1 Home Questionaire Form and Instruction New Available
Form 1 NIAID CUGH Survey Screenshots Form and Instruction New Available
Form 1 ClinRegs Data Collection Screen Shots Form and Instruction New Available
Form 1 Attachment 1 DAIDS cQMP Form and Instruction New Available
SSA 0925-0668 NIAID Fast Track Extension 2 19 2016.doc Supporting Statement A Uploaded 2016-02-19 Available
0925-0668 Generic 30 Day FRN.pdf Supplementary Document Uploaded 2015-12-23 Available
Attachment_2_0925-0668_List_of_Sub-Study_Approvals 12-11-2015.docx Supplementary Document Uploaded 2015-12-23 Available
Attachment 1 0925-0668 Generic Clearance Fast Track Template 2015.doc Supplementary Document Uploaded 2015-12-23 Available
0925-0668 NIAID Generic extension SSB.doc Supporting Statement B Uploaded 2015-12-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234768 U.S.-Japan Cooperative Medical Science Program (USJCMSP) – 21st International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim (NIAID) Form and Instruction NewPost Conference Assessment--USJCMSP2019 screenshot
233034 National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) Form and Instruction NewWWW-WTPH survey screenshot
233033 National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Federal) Form NewWWW-WTHP survey screenshot
233032 Intranet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) (NIAID) Form NewInside-WTHP survey screenshots
233031 Intranet "Was This Page Helpful (WTHP)?" Customer Feedback Survey (Federal) (NIAID) Form NewInside-WTPH-survey screenshot
233027 Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Individuals) (NIAID) Form NewIVN-WTPH-Survey Screenshot
233026 Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Federal) (NIAID) Form NewIVN-WTPH-survey screenshot
233006 DMID Order-It Customer Satisfaction Survey (Private sector) Form NewOrder It Survey
233005 DMID Order-It Customer Satisfaction Survey (Federal) (NIAID) Form NewOrder It Survey
231484 Intramural NIAID Research Opportunities (INRO) Satisfaction Survey Form and Instruction NewINRO Participant Survey screenshot
230903 NIAID ClinRegs - Private Sector Form NewClinRegs Survey screenshot
230903 NIAID ClinRegs - Private Sector Form and Instruction NewClinRegs Focus Group
230901 NIAID ClinRegs - Federal Government Form and Instruction NewClinRegs -focus group
230901 NIAID ClinRegs - Federal Government Form NewClinRegs Survey screenshot
228819 U.S.-Japan Cooperative Medical Science Program (USJCMSP) - 20th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim Form NewPost Conference Feedback screenshot
227579 The National Institutes of Health (NIH) Commons Credits Pilot Secondary Metrics Survey (NIAID) Form and Instruction NewNIH Commons Credits Pilot Screenshots
226558 U.S.-Georgia Scientific Writing Workshop (NIAID) Other-Screetshot of Survey New
226558 U.S.-Georgia Scientific Writing Workshop (NIAID) Form NewGeorgia Writing Workshop Feedback Form
225996 Ethnographic Market Research - Expert in-depth Interviews (IDIs) - Customer feedback (NIAID) Form NewABL Project Sasha Fierce Social worker IDI DG
225996 Ethnographic Market Research - Expert in-depth Interviews (IDIs) - Customer feedback (NIAID) Form NewABL Project Sasha Fierce NGO IDI DG
225996 Ethnographic Market Research - Expert in-depth Interviews (IDIs) - Customer feedback (NIAID) Form and Instruction NewABL Project Sasha fierce Expert IDI DG
225442 PREVAIL Scientific Writing Workshop Form and Instruction NewLiberia Writing Workshop screenshot
225320 Program -19th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim Form and Instruction NewUSJCP Meeting Feb 2017
220902 Patient Satisfaction Questionnaire Form and Instruction NewNIH Questionaire
220902 Patient Satisfaction Questionnaire Form and Instruction NewHome Questionaire
220550 Communicable Disease Research: The Foundation of Global Health Policy and Practice Conference Survey Form and Instruction NewNIAID CUGH Survey Screenshots
220472 User Feedback on NIAID's ClinRegs Website Form and Instruction NewClinRegs Data Collection Screen Shots
220212 Web based Customer Satisfaction form for collecting feedback on NIH/NIAID/DAIDS Clinical Quality Assurance Process Form and Instruction NewAttachment 1 DAIDS cQMP

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2019 36 Months From Approved 02/29/2016
14,175 0 28,000
7,530 0 48,300
0 0 0





Reginfo record details
22
table that charts list of burden
IC Title Form No. Form Name
Communicable Disease Research: The Foundation of Global Health Policy and Practice Conference Survey 1
DMID Order-It Customer Satisfaction Survey (Federal) (NIAID) 1
DMID Order-It Customer Satisfaction Survey (Private sector) 1
Ethnographic Market Research - Expert in-depth Interviews (IDIs) - Customer feedback (NIAID) 1, 2, 3 ,   ,  
Intramural NIAID Research Opportunities (INRO) Satisfaction Survey 1
Intranet "Was This Page Helpful (WTHP)?" Customer Feedback Survey (Federal) (NIAID) 1
Intranet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) (NIAID) 1
Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Federal) (NIAID) 1
Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Individuals) (NIAID) 1
NIAID ClinRegs - Federal Government 1, 2 ,  
NIAID ClinRegs - Private Sector 1, 2 ,  
National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Federal) 1
National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) 1
PREVAIL Scientific Writing Workshop 1
Patient Satisfaction Questionnaire 1, 2 ,  
Program -19th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim 1
The National Institutes of Health (NIH) Commons Credits Pilot Secondary Metrics Survey (NIAID) 1
U.S.-Georgia Scientific Writing Workshop (NIAID) 1
U.S.-Japan Cooperative Medical Science Program (USJCMSP) - 20th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim 1
U.S.-Japan Cooperative Medical Science Program (USJCMSP) – 21st International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim (NIAID) 1
User Feedback on NIAID's ClinRegs Website 1
Web based Customer Satisfaction form for collecting feedback on NIH/NIAID/DAIDS Clinical Quality Assurance Process 1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 14,175 28,000 0 -13,825 0 0
Annual Time Burden (Hours) 7,530 48,300 0 -40,770 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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