Information Collection

National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals)

IC 233034 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) Form and Instruction
1 WWW-WTPH survey screenshot WWW-WTPH-SurveyScreenshots (1).pdf Form and Instruction
WWW-WTPH-FastTrackRequest_Non-FTE.doc WWW-WTPH FastTrack request (individuals) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	WWW-WTPH survey screenshot	WWW-WTPH-SurveyScreenshots (1).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,000	17,000
Annual IC Time Burden (Hours)	567	567
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
WWW-WTPH FastTrack request (individuals)	WWW-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.