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 U.S.-Japan Cooperative Medical Science Program (USJCMSP) – 21st International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim (NIAID) Form and Instruction New Available
Form 1 National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) Form and Instruction New Available
Form 1 National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Federal) Form New Available
Form 1 Intranet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) (NIAID) Form New Available
Form 1 Intranet "Was This Page Helpful (WTHP)?" Customer Feedback Survey (Federal) (NIAID) Form New Available
Form 1 Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Individuals) (NIAID) Form New Available
Form 1 Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Federal) (NIAID) Form New Repair queued
Form 1 DMID Order-It Customer Satisfaction Survey (Private sector) Form New Available
Form 1 DMID Order-It Customer Satisfaction Survey (Federal) (NIAID) Form New Available
Form 1 Intramural NIAID Research Opportunities (INRO) Satisfaction Survey Form and Instruction New Available
Form 2 NIAID ClinRegs - Private Sector Form and Instruction New Available
Form 1 NIAID ClinRegs - Federal Government Form New Repair queued
Form 1 U.S.-Japan Cooperative Medical Science Program (USJCMSP) - 20th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim Form New Available
Form 1 The National Institutes of Health (NIH) Commons Credits Pilot Secondary Metrics Survey (NIAID) Form and Instruction New Available
Form 1 U.S.-Georgia Scientific Writing Workshop (NIAID) Form New Available
Form 1 Ethnographic Market Research - Expert in-depth Interviews (IDIs) - Customer feedback (NIAID) Form and Instruction New Available
Form 1 PREVAIL Scientific Writing Workshop Form and Instruction New Available
Form 1 Program -19th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim Form and Instruction New Available
Form 1 Patient Satisfaction Questionnaire Form and Instruction New Available
Form 1 Communicable Disease Research: The Foundation of Global Health Policy and Practice Conference Survey Form and Instruction New Available
Form 1 User Feedback on NIAID's ClinRegs Website Form and Instruction New Available
Form 1 Web based Customer Satisfaction form for collecting feedback on NIH/NIAID/DAIDS Clinical Quality Assurance Process 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 New
233034 National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) Form and Instruction New
233033 National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Federal) Form New
233032 Intranet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) (NIAID) Form New
233031 Intranet "Was This Page Helpful (WTHP)?" Customer Feedback Survey (Federal) (NIAID) Form New
233027 Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Individuals) (NIAID) Form New
233026 Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Federal) (NIAID) Form New
233006 DMID Order-It Customer Satisfaction Survey (Private sector) Form New
233005 DMID Order-It Customer Satisfaction Survey (Federal) (NIAID) Form New
231484 Intramural NIAID Research Opportunities (INRO) Satisfaction Survey Form and Instruction New
230903 NIAID ClinRegs - Private Sector Form and Instruction New
230901 NIAID ClinRegs - Federal Government Form New
228819 U.S.-Japan Cooperative Medical Science Program (USJCMSP) - 20th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim Form New
227579 The National Institutes of Health (NIH) Commons Credits Pilot Secondary Metrics Survey (NIAID) Form and Instruction New
226558 U.S.-Georgia Scientific Writing Workshop (NIAID) Form New
225996 Ethnographic Market Research - Expert in-depth Interviews (IDIs) - Customer feedback (NIAID) Form and Instruction New
225442 PREVAIL Scientific Writing Workshop Form and Instruction New
225320 Program -19th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim Form and Instruction New
220902 Patient Satisfaction Questionnaire Form and Instruction New
220550 Communicable Disease Research: The Foundation of Global Health Policy and Practice Conference Survey Form and Instruction New
220472 User Feedback on NIAID's ClinRegs Website Form and Instruction New
220212 Web based Customer Satisfaction form for collecting feedback on NIH/NIAID/DAIDS Clinical Quality Assurance Process Form and Instruction New

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
PREVAIL Scientific Writing Workshop 1 Liberia Writing Workshop screenshot
U.S.-Georgia Scientific Writing Workshop (NIAID) 1 Georgia Writing Workshop Feedback Form
NIAID ClinRegs - Private Sector 1, 2 ClinRegs Focus Group ,   ClinRegs Survey screenshot
DMID Order-It Customer Satisfaction Survey (Private sector) 1 Order It Survey
Intranet "Was This Page Helpful (WTHP)?" Customer Feedback Survey (Federal) (NIAID) 1 Inside-WTPH-survey screenshot
User Feedback on NIAID's ClinRegs Website 1 ClinRegs Data Collection Screen Shots
Ethnographic Market Research - Expert in-depth Interviews (IDIs) - Customer feedback (NIAID) 1, 2, 3 ABL Project Sasha fierce Expert IDI DG ,   ABL Project Sasha Fierce NGO IDI DG ,   ABL Project Sasha Fierce Social worker IDI DG
The National Institutes of Health (NIH) Commons Credits Pilot Secondary Metrics Survey (NIAID) 1 NIH Commons Credits Pilot Screenshots
NIAID ClinRegs - Federal Government 1, 2 ClinRegs Survey screenshot ,   ClinRegs -focus group
Intramural NIAID Research Opportunities (INRO) Satisfaction Survey 1 INRO Participant Survey screenshot
DMID Order-It Customer Satisfaction Survey (Federal) (NIAID) 1 Order It Survey
National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Federal) 1 WWW-WTHP survey screenshot
Program -19th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim 1 USJCP Meeting Feb 2017
U.S.-Japan Cooperative Medical Science Program (USJCMSP) - 20th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim 1 Post Conference Feedback screenshot
Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Individuals) (NIAID) 1 IVN-WTPH-Survey Screenshot
Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Federal) (NIAID) 1 IVN-WTPH-survey screenshot
Web based Customer Satisfaction form for collecting feedback on NIH/NIAID/DAIDS Clinical Quality Assurance Process 1 Attachment 1 DAIDS cQMP
Intranet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) (NIAID) 1 Inside-WTHP survey screenshots
National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) 1 WWW-WTPH survey screenshot
Communicable Disease Research: The Foundation of Global Health Policy and Practice Conference Survey 1 NIAID CUGH Survey Screenshots
Patient Satisfaction Questionnaire 1, 2 Home Questionaire ,   NIH Questionaire
U.S.-Japan Cooperative Medical Science Program (USJCMSP) – 21st International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim (NIAID) 1 Post Conference Assessment--USJCMSP2019 screenshot

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
  No