Information Collection

Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Individuals) (NIAID)

IC 233027 under ICR 201512-0925-005 · OMB 0925-0668.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0668 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Individuals) (NIAID)	Form
1 IVN-WTPH-Survey Screenshot IVN-WTPH-SurveyScreenshots.pdf	Form
IVN-WTPH-FastTrackRequest_Non-FTE.doc Intranet Version Nest "Was This Page Helpful (IVN-WTPH) (Individuals)	IC Document

IC Title:

Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Individuals) (NIAID)

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	IVN-WTPH-Survey Screenshot	IVN-WTPH-SurveyScreenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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	500	500
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Intranet Version Nest "Was This Page Helpful (IVN-WTPH) (Individuals)	IVN-WTPH-FastTrackRequest_Non-FTE.doc	09/17/2018

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