Information Collection

Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research

IC 234735 under ICR 201702-0925-001 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research	Form
1 Screenshot from survey to inform Workshop discussion Screenshots from Survey to Inform Workshop Discussion.docx	Form
Fast Track for Systems Epi Workshop Survey_1.11.19_FINAL.docx Fast track for Systems Epi Workshop Survey	IC Document
Survey_Email FINAL.docx survey email	IC Document

IC Title:

Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research

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	Screenshot from survey to inform Workshop discussion	Screenshots from Survey to Inform Workshop Discussion.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
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
Fast track for Systems Epi Workshop Survey	Fast Track for Systems Epi Workshop Survey_1.11.19_FINAL.docx	01/16/2019
survey email	Survey_Email FINAL.docx	01/16/2019

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