Medicine: NIH Mind the Gap Webinar Series Survey II

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

OMB: 0925-0648

IC ID: 230159

Information Collection (IC) Details

View Information Collection (IC)

Medicine: NIH Mind the Gap Webinar Series Survey II
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 MtG Customer Satisfaction Survey 2018 MtG Customer Satisfaction Survey - Survey Monkey Screenshot v2.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

300 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 300 0 300 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast track template Mind the Gap Fast Track Template 2018 - Mind the Gap Evaluation_01.31.18_Clean.doc 02/16/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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