Information Collection

EPIC Cohort Staff Satisfaction Survey (NIAID)

IC 235818 under ICR 201902-0925-002 · OMB 0925-0668.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0668 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 EPIC Cohort Staff Satisfaction Survey (NIAID)	Form and Instruction
1 screenshot of internal communication survey Appendix 2 - OMB Screenshots of Internal Communication Survey_4.23.19.docx	Form and Instruction
EPIC_Fast Track_ 2019.doc EPIC fast track	IC Document
Appendix 1 - NIAID Communications Survey Invite and reminders .docx EPIC communication survey invite and reminder	IC Document

IC Title:

EPIC Cohort Staff Satisfaction Survey (NIAID)

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 and Instruction	1	screenshot of internal communication survey	Appendix 2 - OMB Screenshots of Internal Communication Survey_4.23.19.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

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	2,000	2,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
EPIC fast track	EPIC_Fast Track_ 2019.doc	04/24/2019
EPIC communication survey invite and reminder	Appendix 1 - NIAID Communications Survey Invite and reminders .docx	04/24/2019

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