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

Forms and Documents

Document	Type	Status	Availability
Form 1 Brother Your On My Mind (BYOMM) Knowledge Attitudes and Belief (KAB) (NIMHD)	Form and Instruction	New	Available
Form 1 Literature Search Customer Feedback Survey (NIH Library)	Form and Instruction	New	Available
Form 1 NCBI 2019 Identical Protein Groups (NLM)	Form and Instruction	New	Available
Form 1 Soliciting Feedback on the Omics Nursing & Education Network (ONSEN) Website (NINR)	Form and Instruction	New	Available
Form 1 SR Maximizing Value 3Month Post (ORS/OD)	Form and Instruction	New	Repair queued
Form 1 Focus Group for Primary Care Providers Regarding Alcohol Treatment (NIAAA)	Form and Instruction	New	Available
Form 1 NCBI 2019 Genome Resource Survey (NLM)	Form and Instruction	New	Available
Form 1 Assist User Experience	Form and Instruction	New	Available
Form 1 Feedback on NIH Common Fund's High Risk, High-Reward Research Symposium (OD)	Form	New	Available
Form 1 Survey to Assess the Quality of Grant Review Among NIH Center for Scientific Review Reviewers (CSR)	Form	New	Available
Form 1 Participant Feedback for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 29–31, 2019 at the Lister Hill Auditorium (NLM)	Form and Instruction	New	Available
Form 1 OIT Training Customer Satisfaction Survey (OD)	Form	New	Available
Form 1 2019 Nonprofit Forum on-site meeting feedback (NINDS)	Form and Instruction	New	Available
Form 1 Soliciting Feedback About the National Institutes of Health (NIH) Office of the Director (OD) Office of Research Services (ORS) Division of Occupational Health and Safety (DOHS) Website (OD)	Form and Instruction	New	Available
Form 1 Website Survey for Website Satisfaction Rating (NIAAA)	Form and Instruction	New	Available
Form 1 2019 DOCLINE User Satisfaction Survey (NLM)	Form	New	Available
Form 1 2019 Genetics Home Reference Survey (NLM)	Form	New	Available
Form 1 Rocky Mountain Lab - Family Care Survey 2019 (ORS/OD)	Form and Instruction	New	Available
Form 1 Scientific Research (SR) Maximizing Value (ORS/OD)	Form and Instruction	New	Available
Form 1 NCBI 2019 Run Selector Survey (NLM)	Form	New	Available
Form 1 Technology Transfer and Intellectual Property Officer (TTIPO) Fellowship Program Survey (NIAID)	Form	New	Available
Form 1 2019 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Conference Assessment Survey (NINDS)	Form and Instruction	New	Available
Form 1 Regional Workshop: Alternative Approaches to Combating Anti-Microbial Resistance (AMR) (NIAID)	Form and Instruction	New	Repair queued
Form 1 2019 Clin Var User Survey (NLM)	Form	New	Repair queued
Form 1 2019 Data Science Services Survey (NLM)	Form and Instruction	New	Repair queued
Form 1 2019 NCBI BioProject/BioSample Survey (NLM)	Form	New	Repair queued
Form 1 ORDR Usability Testing of Web Resources for Rare Disease Patients (NCATS)	Form and Instruction	New	Repair queued
Form 1 2019 CT.gov Website Usability Survey (NLM)	Form	New	Repair queued
Form 1 Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students	Form	New	Available
Form 1 2019 NLM ClinicalTrials.gov Website Survey	Form	New	Available
Form 1 Division of Veterinary Resources Customer Satisfaction Survey (OD)	Form and Instruction	New	Available
Form 1 2019 NLM MedlinePlus Awareness Survey	Form	New	Available
Form 1 Statistics Customer Feedback Survey (NIH Library)	Form	New	Available
Form 1 2019 PubMed User Satisfaction Survey (NLM)	Form	New	Available
Form 1 Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey (NIEHS)	Form	New	Available
Form 1 NCBI 2019 Protein Resource Needs Survey (NLM)	Form and Instruction	New	Repair queued
Form 1 NLM SIS Disaster Information Specialization Survey	Form and Instruction	New	Repair queued
Form 1 2019 Occupational Illness and Injury Prevention Survey (OD)	Form and Instruction	New	Available
Form 1 Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)	Form and Instruction	New	Repair queued
Form 1 NLM Site-wide Survey for Website Satisfaction Rating 2019	Form	New	Available
Form 1 NLM Site-wide Survey for Website Satisfaction Rating 2019	Form and Instruction	New	Repair queued
Form 1 Alcohol Research Current Review Author Feedback phone call	Form and Instruction	New	Available
Form 1 NLM NCBI 2018 Population Frequency Data Survey	Form and Instruction	New	Available
Form 1 Questionnaire for assessing the needs to innovate, build, modify and fix laboratory tools & equipment (NIEHS)	Form	New	Available
Form 1 NIH IT Service Desk Customer Satisfaction Survey (CIT)	Form	New	Available
Form 1 Office of Dietary Supplements' Customer Feedback Assessment for ODS Scholars Awardees and Administrative Supplement Grantees (OD)	Form	New	Available
Form 1 Customer Satisfaction Survey for the Innovative Clinical Trials Resource (ICTR) Website	Form	New	Available
Form 1 NLM NCBI 2018 BLAST Survey	Form	New	Available
Form 1 Health Science Data Needs Assessment (NLM)	Form	New	Available
Form 1 NLM 2018 UMLS User Satisfaction Survey	Form and Instruction	New	Repair queued
Form 1 Editing Service Customer Feedback Survey (NIHL)	Form	New	Available
Form 1 Health Science Data Needs Assessment (NLM)	Form and Instruction	New	Repair queued
Form 1 ODP Pathways to Prevention Workshop Survey III	Form	New	Repair queued
Form 1 Change Readiness Survey (OD)	Form and Instruction	New	Available
Form 1 Quick Feedback Center for Scientific Review (QFCSR)	Form	New	Available
Form 1 The NIH Extramural Loan Repayment Programs: Online Customer Service Survey About the Application Technical Assistance Webinar	Form	New	Repair queued
Form 1 NLM NCBI 2018 Data Submission Survey	Form	New	Available
Form 1 Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students	Form and Instruction	New	Available
Form 1 NLM 2018 Exhibition Program Web Portal Usability Study (Private Sector)	Form	New	Repair queued
Form 1 NLM 2018 Exhibition Program Web Portal Usability Study (General Public)	Form	New	Available
Form 1 Amgen-alumni WhereAreYouNow (OITE)	Form	New	Available
Form 1 NIH Office of Intramural Training & Education (OITE) – Amgen Scholars at NIH Feedback (OD)	Form	New	Available
Form 1 Human Genetics Resource Center Publication Survey (NINDS)	Form	New	Repair queued
Form 1 NIH On the Move Need Survey	Form	New	Available
Form 1 Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey	Form	New	Available
Form 1 NLM NCBI 2018 Graphical Sequence Survey	Form	New	Available
Form 1 NIH Library Instruction Customer Feedback Survey (NCI)	Form	New	Available
Form 1 Perception of Cool Down Day Survey	Form and Instruction	New	Available
Form 1 NCBI 2018 Gene Resource Survey (NLM)	Form	New	Available
Form 1 Feedback on NIH Common Fund's High-Risk, High-Reward Research Symposium (OD)	Form	New	Repair queued
Form 1 NLM NCBI 2018 PubChem Resources Survey	Form	New	Available
Form 1 National Institute of Mental Health (NIMH) Core Facility User Survey	Form	New	Available
Form 1 NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State and Local)	Form	New	Repair queued
Form 1 NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use Private Sector	Form	New	Available
Form 1 NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Ind. and Households)	Form	New	Available
Form 1 NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal)	Form	New	Available
Form 1 Office of Intramural Training & Education (OITE) – How to Teach and Advise on Career Development Topics for the Next Generation of Biomedical Scientists: A Train-the-Trainers Event	Form	New	Repair queued
Form 1 2018 Train-the-Trainers (private) Feedback (OD)	Form	New	Available
Form 1 NLM GeneEd User Survey	Form	New	Available
Form 1 NLM NCBI 2018 Transcript Resources Survey	Form	New	Available
Form 1 HMD 2018 Traveling Exhibition Host Survey	Form	New	Repair queued
Form 1 NLM NCBI 2018 Microbial Genome Resources Survey	Form and Instruction	New	Available
Form 1 CSR New Chair Orientation Survey	Form and Instruction	New	Available
Form 1 National Institute of Mental Health (NIMH) Outreach Partnership Program Annual Meeting Assessment Form	Form	New	Available
Form 1 NLM Websites User Satisfaction 2018 Survey	Form	New	Available
Form 1 BYOMM After Action Report (NIMHD)	Form	New	Available
Form 1 NLM MedlinePlus Website Usability Survey	Form and Instruction	New	Available
Form 1 Workflow information Tracking System (WiTS) Focus Groups	Form and Instruction	New	Available
Form 1 Basic Electronic Survey to Inform Development of a Nursing Research Brochure	Form and Instruction	New	Available
Form 1 NIH Library Customer Satisfaction Survey	Form and Instruction	New	Available
Form 1 Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal Government)	Form and Instruction	New	Repair queued
Form 1 Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State, Local, and Tribal)	Form and Instruction	New	Available
Form 1 Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Private Sector)	Form and Instruction	New	Repair queued
Form 1 Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Individuals and Households)	Form and Instruction	New	Available
Form 1 National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form	Form and Instruction	New	Repair queued
Form 1 National Eye Institute (NEI) Eye Health Focus Groups with New Audiences Ages 25-35	Form and Instruction	New	Available
Form 1 HMD 2018 Exhibition Program Web Usability Study	Form and Instruction	New	Available
Form 1 2018 NLM SIS Emerging Adults Health Needs Assessment	Form and Instruction	New	Repair queued
Form 1 NCBI ClinVar 2017 Website User Survey (NLM)	Form	New	Repair queued
Form 1 NIH Office of Intramural Training & Education (OITE) – Career Service Center Feedback	Form	New	Available
Form 1 NLM NCBI 2018 Genetics and Population Frequency Data Survey	Form	New	Available
Form 1 NLM 2018 Public Libraries Association Survey	Form and Instruction	New	Repair queued
Form 1 DrugAbuse.gov Website Feedback Survey	Form and Instruction	New	Available
Form 1 NLM Toxnet 2018 Workshop Survey	Form and Instruction	New	Available
Form 1 Office of Human Resources (OHR) Pulse Survey	Form and Instruction	New	Repair queued
Form 1 HR Systems Support (HRSS) Customer Satisfaction Survey	Form and Instruction	New	Available
Form 1 Division of Senior and Scientific Executive Management (DSSEM) Application and Interview Satisfaction Survey	Form and Instruction	New	Repair queued
Form 1 Office of Human Resources (OHR) Climate Survey	Form and Instruction	New	Available
Form 1 Office of Human Resources (OHR) Training Survey	Form and Instruction	New	Available
Form 1 WiTS Climate Survey 2015	Form and Instruction	New	Available
Form 1 Benefits & Payroll Liaison Branch (BLPB) Customer Satisfaction Survey	Form and Instruction	New	Available
Form 1 Medicine: NIH Mind the Gap Webinar Series Survey II	Form	New	Available
Form 1 Pathways to Prevention - Non-profit	Form	New	Available
Form 1 ODP Pathways to Prevention survey	Form	New	Available
Form 1 "The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey	Form	New	Available
Form 1 KAI Data and Saftey Monitoring Meeting E	Form	New	Repair queued
Form 1 NIMH Website Survey	Form	New	Available
Form 3 NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services	Form	New	Repair queued
Form 1 NCBI 2017 Website User Survey	Form and Instruction	New	Available
Form 1 NLM NCBI 2018 Literature Resources Survey	Form and Instruction	New	Available
Form 1 NLM Traveling Exhibition Visitor Study	Form and Instruction	New	Available
Form 1 NLM NCBI 2018 Representative Genomes Survey	Form and Instruction	New	Available
Form 1 NLM Website Survey for Website Satisfaction Rating	Form and Instruction	New	Available
Form 1 Pediatric Patient Perception Survey (CC)	Form	New	Repair queued
Form 1 Health Information Technology Patient Satisfaction Survey (CC)	Form	New	Repair queued
Form 1 Patient Perception Survey (CC)	Form	New	Available
Form 1 Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey(NIEHS)	Form	New	Repair queued
Form 1 NIH Office of Intramural Training & Education (OITE) - NIH Native American Visit Week Feedback	Form	New	Available
Form 1 NIH Office of Intramural Training & Education (OITE) - Management Boot Camp Feedback	Form	New	Available
Form 1 NIH Office of Intramural Training & Education (OITE) - Graduate & Professional School Fair Feedback	Form	New	Available
Form 2 NIH Office of Intramural Training & Education (OITE) - General Feedback Forms	Form	New	Repair queued
Form 1 NIH Office of Intramural Training & Education (OITE) Community College Day Feedback	Form	New	Available
Form 1 NIH Office of Intramural Training & Education (OITE) 2018 Feedback Career Symposium	Form	New	Available
Form 1 The Annual NIH Pain consortium Symposium Feedback	Form	New	Available
Form 1 The NINDS Public Site Widget	Form	New	Repair queued
2017 SSA Generic NIHWide Fast Track1 (2).docx	Supporting Statement A	Uploaded 2018-03-22	Available
30-day FRN2018-05172.pdf	Supplementary Document	Uploaded 2018-03-22	Available
Fast Track Template 2016.doc	Supplementary Document	Uploaded 2018-03-01	Available
2017 SSB_0925-0648_NIH Wide Fast Track Extension.docx	Supporting Statement B	Uploaded 2018-03-01	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
236608	Brother Your On My Mind (BYOMM) Knowledge Attitudes and Belief (KAB) (NIMHD)	Form and Instruction	New
236606	Literature Search Customer Feedback Survey (NIH Library)	Form and Instruction	New
236602	NCBI 2019 Identical Protein Groups (NLM)	Form and Instruction	New
236576	Soliciting Feedback on the Omics Nursing & Education Network (ONSEN) Website (NINR)	Form and Instruction	New
236484	SR Maximizing Value 3Month Post (ORS/OD)	Form and Instruction	New
236478	Focus Group for Primary Care Providers Regarding Alcohol Treatment (NIAAA)	Form and Instruction	New
236407	NCBI 2019 Genome Resource Survey (NLM)	Form and Instruction	New
236365	Assist User Experience	Form and Instruction	New
236197	Feedback on NIH Common Fund's High Risk, High-Reward Research Symposium (OD)	Form	New
236037	Survey to Assess the Quality of Grant Review Among NIH Center for Scientific Review Reviewers (CSR)	Form	New
235845	Participant Feedback for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 29–31, 2019 at the Lister Hill Auditorium (NLM)	Form and Instruction	New
235819	OIT Training Customer Satisfaction Survey (OD)	Form	New
235751	2019 Nonprofit Forum on-site meeting feedback (NINDS)	Form and Instruction	New
235750	Soliciting Feedback About the National Institutes of Health (NIH) Office of the Director (OD) Office of Research Services (ORS) Division of Occupational Health and Safety (DOHS) Website (OD)	Form and Instruction	New
235681	Website Survey for Website Satisfaction Rating (NIAAA)	Form and Instruction	New
235678	2019 DOCLINE User Satisfaction Survey (NLM)	Form	New
235643	2019 Genetics Home Reference Survey (NLM)	Form	New
235642	Rocky Mountain Lab - Family Care Survey 2019 (ORS/OD)	Form and Instruction	New
235640	Scientific Research (SR) Maximizing Value (ORS/OD)	Form and Instruction	New
235638	NCBI 2019 Run Selector Survey (NLM)	Form	New
235604	Technology Transfer and Intellectual Property Officer (TTIPO) Fellowship Program Survey (NIAID)	Form	New
235490	2019 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Conference Assessment Survey (NINDS)	Form and Instruction	New
235415	Regional Workshop: Alternative Approaches to Combating Anti-Microbial Resistance (AMR) (NIAID)	Form and Instruction	New
235380	2019 Clin Var User Survey (NLM)	Form	New
235334	2019 Data Science Services Survey (NLM)	Form and Instruction	New
235102	2019 NCBI BioProject/BioSample Survey (NLM)	Form	New
234936	ORDR Usability Testing of Web Resources for Rare Disease Patients (NCATS)	Form and Instruction	New
234899	2019 CT.gov Website Usability Survey (NLM)	Form	New
234845	Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students	Form	New
234812	2019 NLM ClinicalTrials.gov Website Survey	Form	New
234772	Division of Veterinary Resources Customer Satisfaction Survey (OD)	Form and Instruction	New
234767	2019 NLM MedlinePlus Awareness Survey	Form	New
234753	Statistics Customer Feedback Survey (NIH Library)	Form	New
234707	2019 PubMed User Satisfaction Survey (NLM)	Form	New
234703	Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey (NIEHS)	Form	New
234686	NCBI 2019 Protein Resource Needs Survey (NLM)	Form and Instruction	New
234683	NLM SIS Disaster Information Specialization Survey	Form and Instruction	New
234682	2019 Occupational Illness and Injury Prevention Survey (OD)	Form and Instruction	New
234681	Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)	Form and Instruction	New
234605	NLM Site-wide Survey for Website Satisfaction Rating 2019	Form	New
234529	NLM Site-wide Survey for Website Satisfaction Rating 2019	Form and Instruction	New
234515	Alcohol Research Current Review Author Feedback phone call	Form and Instruction	New
234504	NLM NCBI 2018 Population Frequency Data Survey	Form and Instruction	New
234245	Questionnaire for assessing the needs to innovate, build, modify and fix laboratory tools & equipment (NIEHS)	Form	New
234244	NIH IT Service Desk Customer Satisfaction Survey (CIT)	Form	New
234199	Office of Dietary Supplements' Customer Feedback Assessment for ODS Scholars Awardees and Administrative Supplement Grantees (OD)	Form	New
234139	Customer Satisfaction Survey for the Innovative Clinical Trials Resource (ICTR) Website	Form	New
233927	NLM NCBI 2018 BLAST Survey	Form	New
233909	Health Science Data Needs Assessment (NLM)	Form	New
233841	NLM 2018 UMLS User Satisfaction Survey	Form and Instruction	New
233824	NIH Library Survey on Electronic Lab Notebook Usage in NIH Intramural Labs	Instruction	New
233692	Editing Service Customer Feedback Survey (NIHL)	Form	New
233667	Health Science Data Needs Assessment (NLM)	Form and Instruction	New
233641	ODP Pathways to Prevention Workshop Survey III	Form	New
233574	Change Readiness Survey (OD)	Form and Instruction	New
233479	Quick Feedback Center for Scientific Review (QFCSR)	Form	New
233458	The NIH Extramural Loan Repayment Programs: Online Customer Service Survey About the Application Technical Assistance Webinar	Form	New
233138	NLM NCBI 2018 Data Submission Survey	Form	New
233036	Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students	Form and Instruction	New
232994	NLM 2018 Exhibition Program Web Portal Usability Study (Private Sector)	Form	New
232993	NLM 2018 Exhibition Program Web Portal Usability Study (General Public)	Form	New
232808	Amgen-alumni WhereAreYouNow (OITE)	Form	New
232800	NIH Office of Intramural Training & Education (OITE) – Amgen Scholars at NIH Feedback (OD)	Form	New
232691	Human Genetics Resource Center Publication Survey (NINDS)	Form	New
232540	NIH On the Move Need Survey	Form	New
232513	Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey	Form	New
232501	NLM NCBI 2018 Graphical Sequence Survey	Form	New
232413	NIH Library Instruction Customer Feedback Survey (NCI)	Form	New
232412	Perception of Cool Down Day Survey	Form and Instruction	New
232372	NCBI 2018 Gene Resource Survey (NLM)	Form	New
232146	Feedback on NIH Common Fund's High-Risk, High-Reward Research Symposium (OD)	Form	New
232096	NLM NCBI 2018 PubChem Resources Survey	Form	New
231930	National Institute of Mental Health (NIMH) Core Facility User Survey	Form	New
231906	NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State and Local)	Form	New
231905	NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use Private Sector	Form	New
231904	NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Ind. and Households)	Form	New
231903	NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal)	Form	New
231896	Office of Intramural Training & Education (OITE) – How to Teach and Advise on Career Development Topics for the Next Generation of Biomedical Scientists: A Train-the-Trainers Event	Form	New
231853	2018 Train-the-Trainers (private) Feedback (OD)	Form	New
231848	NLM GeneEd User Survey	Form	New
231816	NLM NCBI 2018 Transcript Resources Survey	Form	New
231795	HMD 2018 Traveling Exhibition Host Survey	Form	New
231755	NLM NCBI 2018 Microbial Genome Resources Survey	Form and Instruction	New
231718	CSR New Chair Orientation Survey	Form and Instruction	New
231708	National Institute of Mental Health (NIMH) Outreach Partnership Program Annual Meeting Assessment Form	Form	New
231692	NLM Websites User Satisfaction 2018 Survey	Form	New
231573	BYOMM After Action Report (NIMHD)	Form	New
231431	NLM MedlinePlus Website Usability Survey	Form and Instruction	New
230718	Workflow information Tracking System (WiTS) Focus Groups	Form and Instruction	New
230717	Basic Electronic Survey to Inform Development of a Nursing Research Brochure	Form and Instruction	New
230716	NIH Library Customer Satisfaction Survey	Form and Instruction	New
230703	Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal Government)	Form and Instruction	New
230702	Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State, Local, and Tribal)	Form and Instruction	New
230701	Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Private Sector)	Form and Instruction	New
230700	Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Individuals and Households)	Form and Instruction	New
230698	National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form	Form and Instruction	New
230697	National Eye Institute (NEI) Eye Health Focus Groups with New Audiences Ages 25-35	Form and Instruction	New
230696	HMD 2018 Exhibition Program Web Usability Study	Form and Instruction	New
230666	2018 NLM SIS Emerging Adults Health Needs Assessment	Form and Instruction	New
230571	NCBI ClinVar 2017 Website User Survey (NLM)	Form	New
230530	NIH Office of Intramural Training & Education (OITE) – Career Service Center Feedback	Form	New
230416	NLM NCBI 2018 Genetics and Population Frequency Data Survey	Form	New
230274	NLM 2018 Public Libraries Association Survey	Form and Instruction	New
230218	DrugAbuse.gov Website Feedback Survey	Form and Instruction	New
230204	NLM Toxnet 2018 Workshop Survey	Form and Instruction	New
230166	Office of Human Resources (OHR) Pulse Survey	Form and Instruction	New
230165	HR Systems Support (HRSS) Customer Satisfaction Survey	Form and Instruction	New
230164	Division of Senior and Scientific Executive Management (DSSEM) Application and Interview Satisfaction Survey	Form and Instruction	New
230163	Office of Human Resources (OHR) Climate Survey	Form and Instruction	New
230162	Office of Human Resources (OHR) Training Survey	Form and Instruction	New
230161	WiTS Climate Survey 2015	Form and Instruction	New
230160	Benefits & Payroll Liaison Branch (BLPB) Customer Satisfaction Survey	Form and Instruction	New
230159	Medicine: NIH Mind the Gap Webinar Series Survey II	Form	New
230158	Pathways to Prevention - Non-profit	Form	New
230157	ODP Pathways to Prevention survey	Form	New
230156	"The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey	Form	New
230151	KAI Data and Saftey Monitoring Meeting E	Form	New
230149	NIMH Website Survey	Form	New
230148	NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services	Form	New
230138	NCBI 2017 Website User Survey	Form and Instruction	New
230134	NLM NCBI 2018 Literature Resources Survey	Form and Instruction	New
230133	NLM Traveling Exhibition Visitor Study	Form and Instruction	New
230131	NLM NCBI 2018 Representative Genomes Survey	Form and Instruction	New
230130	NLM Website Survey for Website Satisfaction Rating	Form and Instruction	New
230122	Pediatric Patient Perception Survey (CC)	Form	New
230121	Health Information Technology Patient Satisfaction Survey (CC)	Form	New
230120	Patient Perception Survey (CC)	Form	New
230119	Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey(NIEHS)	Form	New
230118	NIH Office of Intramural Training & Education (OITE) - NIH Native American Visit Week Feedback	Form	New
230117	NIH Office of Intramural Training & Education (OITE) - Management Boot Camp Feedback	Form	New
230116	NIH Office of Intramural Training & Education (OITE) - Graduate & Professional School Fair Feedback	Form	New
230115	NIH Office of Intramural Training & Education (OITE) - General Feedback Forms	Form	New
230114	NIH Office of Intramural Training & Education (OITE) Community College Day Feedback	Form	New
230113	NIH Office of Intramural Training & Education (OITE) 2018 Feedback Career Symposium	Form	New
230111	The Annual NIH Pain consortium Symposium Feedback	Form	New
230102	The NINDS Public Site Widget	Form	New

ICR Details

OMB Control No: 0925-0648	ICR Reference No: 201802-0925-002
Status: Historical Active	Previous ICR Reference No: 201501-0925-004
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/01/2018
	Date Received in OIRA: 03/27/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2021	36 Months From Approved	04/30/2018
Responses	1,059,000	0	759,000
Time Burden (Hours)	147,999	0	148,074
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the National Institutes of Health to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 60754	12/22/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 11219	03/14/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 136

IC Title	Form No.	Form Name
NLM SIS Disaster Information Specialization Survey	1	DIS Survey Instrument
2019 NLM MedlinePlus Awareness Survey	1	MedlinePlus Survey Instrument
Questionnaire for assessing the needs to innovate, build, modify and fix laboratory tools & equipment (NIEHS)	1	Equipment Survey
NLM Site-wide Survey for Website Satisfaction Rating 2019	1	NLM Site-wide Survey for Website Satisfaction Rating 2019
Alcohol Research Current Review Author Feedback phone call	1	NIAAA Author Feedback Call
NCBI 2019 Protein Resource Needs Survey (NLM)	1	NCBI 2019 Protein Resource Survey
Participant Feedback for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 29–31, 2019 at the Lister Hill Auditorium (NLM)	1, 2, 3	Evaluation Day 1 screenshot ,   Evaluation Day 2 screenshot ,   Evaluation Day 3 screenshot
Regional Workshop: Alternative Approaches to Combating Anti-Microbial Resistance (AMR) (NIAID)	1	Post WorkshopEvaluation --US-KZ AMR 2019 screenshots
HMD 2018 Exhibition Program Web Usability Study	1	HMD 2018 Exhibition Web Usability Study Instrument
National Eye Institute (NEI) Eye Health Focus Groups with New Audiences Ages 25-35	2, 1	New Aud FG Attachment A Screnner ,   Guide New Aud Attachment B
National Institute of Mental Health (NIMH) Outreach Partnership Program Annual Meeting Assessment Form	1	2018 OPP Mtg Assessment Form
Health Information Technology Patient Satisfaction Survey (CC)	1	Patient Portal Online Survey Screenshot
NLM GeneEd User Survey	1	GeneEd User Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State and Local)	1	PEPH Aware Act Use Survey
"The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey	1	Survey/Monkey
Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students	1	STEP UP survey screenshot
Human Genetics Resource Center Publication Survey (NINDS)	1	NOVISurvey NINDS Publication Survey
NCBI 2019 Run Selector Survey (NLM)	1	NCBI Run Selector Survey Instrument
NCBI 2019 Genome Resource Survey (NLM)	1	NCBI 2019 Genome Survey
2019 Occupational Illness and Injury Prevention Survey (OD)	1	ED DOHS OIIP Survey screenshot
Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)	1	NIMH OFT Annual Trainee Survey Questions
Customer Satisfaction Survey for the Innovative Clinical Trials Resource (ICTR) Website	1	Innovative Clinical Trials Resource (ICTR) screenshot
Statistics Customer Feedback Survey (NIH Library)	1	Statistics CS Survey
Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey (NIEHS)	1	CHEAR Client Satisfaction survey
Website Survey for Website Satisfaction Rating (NIAAA)	1	NIAAA Website Survey Screenshot
NIH On the Move Need Survey	1	LD PRA Screenshots On the Move
NIH Office of Intramural Training & Education (OITE) 2018 Feedback Career Symposium	1	Career Symposium Collection Form
Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey(NIEHS)	1	CHEAR Client Satisfaction Survey
Workflow information Tracking System (WiTS) Focus Groups	1	WiTS Focus Group Instrument
NCBI ClinVar 2017 Website User Survey (NLM)	1	NCBI ClinVar 2017 Survey instrument
NLM NCBI 2018 Transcript Resources Survey	1	NCBI 2018 Transcript Resources Survey
NLM NCBI 2018 Representative Genomes Survey	1	NCBI 2018 Representative Genomes Survey
NIH Office of Intramural Training & Education (OITE) - Management Boot Camp Feedback	1	Management Boot Camp form
NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services	1, 2, 3	Online Publication Ordering Survey ,   Telephone Service Customer Satisfaction survey ,   Email Service survey
KAI Data and Saftey Monitoring Meeting E	1	KAI Research Questions for NIAMS Customer Survey
NIH Office of Intramural Training & Education (OITE) – Career Service Center Feedback	1	2018 Feedback Career Service Center
NLM Traveling Exhibition Visitor Study	1	NLM Traveling Exhibition Visitor Survey
Technology Transfer and Intellectual Property Officer (TTIPO) Fellowship Program Survey (NIAID)	1	TTIPO Fellowship Survey screenshots
Scientific Research (SR) Maximizing Value (ORS/OD)	1, 2	Pre-Presentation Survey screenshot ,   Post-Presentation screenshot
2019 PubMed User Satisfaction Survey (NLM)	1	PubMed User Survey Instrument
National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form	1	NIMH Professional Coalition for Research Progress Meeting Assessment Form
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Individuals and Households)	1	PEPH Aware Act Use Survey Final
Basic Electronic Survey to Inform Development of a Nursing Research Brochure	1, 1	Survey Screenshots ,   Survey Instrument
NIH Library Customer Satisfaction Survey	1	Survey with Burden Disclosure Statement
NLM NCBI 2018 Microbial Genome Resources Survey	1	NCBI Microbial Genome Resources Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Ind. and Households)	1	PEPH Aware Act Use Survey
Office of Intramural Training & Education (OITE) – How to Teach and Advise on Career Development Topics for the Next Generation of Biomedical Scientists: A Train-the-Trainers Event	1	2018 Train-the-Trainers- (Federal) Feedback form
OIT Training Customer Satisfaction Survey (OD)	1	OITBrownBag survey
ODP Pathways to Prevention Workshop Survey III	1	P2P Post Survey Screenshots
SR Maximizing Value 3Month Post (ORS/OD)	1	KOliver Screenshots
Soliciting Feedback About the National Institutes of Health (NIH) Office of the Director (OD) Office of Research Services (ORS) Division of Occupational Health and Safety (DOHS) Website (OD)	1	DOHS survey screenshot
2019 NLM ClinicalTrials.gov Website Survey	1	Clinical trials website survey
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Private Sector)	1	PEPH Aware Act Use Survey
NIH Office of Intramural Training & Education (OITE) - NIH Native American Visit Week Feedback	1	NAVisit week Collection
Office of Human Resources (OHR) Climate Survey	1	2017 OHR Climate Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal)	1	PEPH Aware-Act-Use Survey
NLM Websites User Satisfaction 2018 Survey	1	NLM Websites Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use Private Sector	1	PEPH Aware Act Use Survey
NIH Library Instruction Customer Feedback Survey (NCI)	1	NIH Library Screenshot
NIH Office of Intramural Training & Education (OITE) – Amgen Scholars at NIH Feedback (OD)	1	Amgen Scholars Feedback survey
Benefits & Payroll Liaison Branch (BLPB) Customer Satisfaction Survey	1	Retiree Survey
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey	1	DSEIS PRA Screenshots
NIH Library Survey on Electronic Lab Notebook Usage in NIH Intramural Labs	1	ALivinski Library Survey Screenshots
NLM NCBI 2018 BLAST Survey	1	NCBI 2018 Blast Survey
NLM NCBI 2018 Population Frequency Data Survey	1	NLM NCBI 2018 Population Frequency Data Survey
Office of Dietary Supplements' Customer Feedback Assessment for ODS Scholars Awardees and Administrative Supplement Grantees (OD)	1, 2	ODS Scholars Feedback Survey ,   ODS Administrative Supplement survey
ORDR Usability Testing of Web Resources for Rare Disease Patients (NCATS)	3, 1, 2	NCATS GARD RDD Test Plan ,   NCATS RaDaR RDD Test Plan ,   NCATS Toolkit RDD Test Plan
NLM Site-wide Survey for Website Satisfaction Rating 2019	1	NLM Site-wide Survey for Website Satisfaction Rating 2019
2019 DOCLINE User Satisfaction Survey (NLM)	1	DOCLINE Survey instrument
2019 Clin Var User Survey (NLM)	1	2019 ClinVar Survey
HR Systems Support (HRSS) Customer Satisfaction Survey	1	NIH HRSS Customer Satisfaction Survey
NLM 2018 Public Libraries Association Survey	1	2018 Public Libraries Survey instrument
NIH Office of Intramural Training & Education (OITE) - Graduate & Professional School Fair Feedback	1	Graduate & Professional School Fair Feedback Collection
The Annual NIH Pain consortium Symposium Feedback	1	Pain 2015 Survey Monkey
NIH Office of Intramural Training & Education (OITE) - General Feedback Forms	2	General Feedback Collection form
Feedback on NIH Common Fund's High-Risk, High-Reward Research Symposium (OD)	1	HRHR Symposium survey 2018
CSR New Chair Orientation Survey	1	CSR New Chair Orientation
NLM NCBI 2018 PubChem Resources Survey	1	NCBI 2018 PubChem Survey Instrument
Pediatric Patient Perception Survey (CC)	1	NRC NIH Inpatient Pediatric Survey
WiTS Climate Survey 2015	1	2015 WiTS Climate Survey
The NIH Extramural Loan Repayment Programs: Online Customer Service Survey About the Application Technical Assistance Webinar	1	FY2019 LRP Webinar Survey
NLM 2018 Exhibition Program Web Portal Usability Study (General Public)	1	NLM Exhibition Program Portal Usability Study Instrument
Editing Service Customer Feedback Survey (NIHL)	1	Survey
2019 NCBI BioProject/BioSample Survey (NLM)	1	NCBI BioProject BioSample Survey
Survey to Assess the Quality of Grant Review Among NIH Center for Scientific Review Reviewers (CSR)	1	Survey
Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students	1	DSTRP survey instrument
NLM NCBI 2018 Genetics and Population Frequency Data Survey	1	NCBI 2018 Genetics and Population Frequency Data Survey
Medicine: NIH Mind the Gap Webinar Series Survey II	1	MtG Customer Satisfaction Survey
HMD 2018 Traveling Exhibition Host Survey	1	NLM HMD 2018 Traveling Exhibition Host Survey
Patient Perception Survey (CC)	1, 2	NIH Inpatient Mock-up - NRC Health ,   NIH Outpatient Mock-up -NRC Health
NCBI 2017 Website User Survey	1	NCBI 2017 Website User Survey Instrument
Perception of Cool Down Day Survey	1	Cool Down Day BDS
Pathways to Prevention - Non-profit	1	P2P Survey screenshots
Change Readiness Survey (OD)	1	ChangeReadiness Survey screenshot
Amgen-alumni WhereAreYouNow (OITE)	1	OMBFT-Amgen-Alumni-WhereAreYouNow
NLM NCBI 2018 Data Submission Survey	1	NCBI Submission Survey
Brother Your On My Mind (BYOMM) Knowledge Attitudes and Belief (KAB) (NIMHD)	1	BYOMM KAB
Focus Group for Primary Care Providers Regarding Alcohol Treatment (NIAAA)	1, 2	Navigator Screener Round 2 ,   Physicians Moderator Guide
2019 Nonprofit Forum on-site meeting feedback (NINDS)	1	2019 Nonprofit Forum on-site meeting feedback survey
Soliciting Feedback on the Omics Nursing & Education Network (ONSEN) Website (NINR)	1	ONSEN survey
Literature Search Customer Feedback Survey (NIH Library)	1	Literature Survey
NIH IT Service Desk Customer Satisfaction Survey (CIT)	1	CIT Customer Satisfaction Survey Form
2019 CT.gov Website Usability Survey (NLM)	1	NLM 2019 CT Usability Survey
2018 NLM SIS Emerging Adults Health Needs Assessment	1	SIS Emerging Adults Focus Group Survey
Office of Human Resources (OHR) Pulse Survey	1	OHR Pulse Survey
NLM MedlinePlus Website Usability Survey	1	User Survey Instrument NLM MedlinePlus Website
BYOMM After Action Report (NIMHD)	1	BYOMM After Action
National Institute of Mental Health (NIMH) Core Facility User Survey	1	NIMH Core User Survey template
Division of Veterinary Resources Customer Satisfaction Survey (OD)	1	GDB screenhots
Office of Human Resources (OHR) Training Survey	1	P2P Survey Screenshots
Division of Senior and Scientific Executive Management (DSSEM) Application and Interview Satisfaction Survey	1	DSSEM Application and Interview Survey
DrugAbuse.gov Website Feedback Survey	1	NIDA- Website Feedback Survey Screenshots
NLM 2018 Exhibition Program Web Portal Usability Study (Private Sector)	1	NLM Exhibition Program Portal Usability Study Instrument
NLM 2018 UMLS User Satisfaction Survey	1	UMLS 2018 User Survey
NLM NCBI 2018 Graphical Sequence Survey	1	Graphical Sequence Display Survey
Quick Feedback Center for Scientific Review (QFCSR)	1	QFCSR Fall 2018
Health Science Data Needs Assessment (NLM)	1	Health Science Data Needs As survey instrument
2019 Genetics Home Reference Survey (NLM)	1	GHR Survey Instrument
Rocky Mountain Lab - Family Care Survey 2019 (ORS/OD)	1	RML Family Care Survey Screenshot
Feedback on NIH Common Fund's High Risk, High-Reward Research Symposium (OD)	1	HRHR Symposium Satisfaction Survey
NLM Toxnet 2018 Workshop Survey	1	NLM TOXNET 2018 Workshop Survey instrument
NIH Office of Intramural Training & Education (OITE) Community College Day Feedback	1	Community College Day feedback
The NINDS Public Site Widget	1	NINDS Public Site Widget screenshot
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State, Local, and Tribal)	1	PEPH Aware Act Use Survey Final
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal Government)	1	PEPH Aware Act Use Survey
2018 Train-the-Trainers (private) Feedback (OD)	1	2018 Train-the-Trainers Feedback form
NLM Website Survey for Website Satisfaction Rating	1	NLM Website Survey Instrument
NLM NCBI 2018 Literature Resources Survey	1	NCBI 2018 Literature Resources Survey
ODP Pathways to Prevention survey	1	P2P Survey screenshots
NIMH Website Survey	1	NIMH Website Survey Screenshots
NCBI 2018 Gene Resource Survey (NLM)	1	NCBI 2018 Gene Resource Survey Instrument
Health Science Data Needs Assessment (NLM)	1	Health Science Data Needs Assessment
2019 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Conference Assessment Survey (NINDS)	1	BRAIN PI Mtg - Event App Survey Screenshots
2019 Data Science Services Survey (NLM)	1	Data Science Survey
Assist User Experience	1	Assist User Experience
NCBI 2019 Identical Protein Groups (NLM)	1	NCBI IPG survey

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ICR Summary 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	1,059,000	759,000	0	300,000	0	0
Annual Time Burden (Hours)	147,999	148,074	0	-75	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: there is a difference of -75 in the burden being requested due to mathematical computation from the previously, approved submission. Additionally, the number of responses has increased by 300,000 due to new requirements regarding the reporting of “Responses per Respondent.”

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Annual Cost to Federal Government: $350,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/27/2018

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