Information Collection

Mapping and Questionnaire Documents IA 30626 A5 (NIH)Mapping and Questionnaire Documents IA 30626 A5 (NIH)

IC 234985 under ICR 201805-1090-003 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 30626 M5 Mapping and Questionnaire Documents IA 30626 A5 (NIH)Mapping and Questionnaire Documents IA 30626 A5 (NIH)	Form and Instruction
30626 M5 Q_NIDDK_Mobile_Browse_20180820_DOT Q_NIDDK_Mobile_Browse_20180820_DOT.xlsx	Form and Instruction
30626 M5 Q_NIDDK_Web_Browse_20180820_DOT Q_NIDDK_Web_Browse_20180820_DOT.xlsx	Form and Instruction
1090-0008 Generic Clearance Request Form_NIH Survey_IA 30626 Amend 5.pdf 1090-0008 Generic Clearance Request Form_NIH Survey_IA 30626 Amend 5	IC Document
OMB Mapping 2018-2019 Survey (NIH) IA 30626 Amend 5.xlsx OMB Mapping 2018-2019 Survey (NIH) IA 30626 Amend 5	IC Document

IC Title:

Mapping and Questionnaire Documents IA 30626 A5 (NIH)Mapping and Questionnaire Documents IA 30626 A5 (NIH)

Agency IC Tracking Number:

30625 M5

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 and Instruction	30626 M5	Q_NIDDK_Mobile_Browse_20180820_DOT	Q_NIDDK_Mobile_Browse_20180820_DOT.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	30626 M5	Q_NIDDK_Web_Browse_20180820_DOT	Q_NIDDK_Web_Browse_20180820_DOT.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,600

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	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form_NIH Survey_IA 30626 Amend 5	1090-0008 Generic Clearance Request Form_NIH Survey_IA 30626 Amend 5.pdf	02/19/2019
OMB Mapping 2018-2019 Survey (NIH) IA 30626 Amend 5	OMB Mapping 2018-2019 Survey (NIH) IA 30626 Amend 5.xlsx	02/19/2019

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