NIH Events Management – Video Production Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 NIH Events Management – Video Production Survey Form and Instruction
1 Video Production Survey 040918 -FY17 EM Video Production Survey.docx Form and Instruction
041718-Video Production-Request.docx Video Production fast track template IC Document
040918 PRA-Letter-EM Video Production Survey.docx email letter IC Document

Information Collection (IC) Details

IC Title:	NIH Events Management – Video Production Survey	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	Video Production Survey	040918 -FY17 EM Video Production Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Video Production fast track template	041718-Video Production-Request.docx	04/26/2018
email letter	040918 PRA-Letter-EM Video Production Survey.docx	04/26/2018

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