Information Collection

Enhanced Privacy Rooms Customer Service Survey (NIAID)

IC 235838 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⚠️ Notice: This information collection may be referencing outdated material.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 Enhanced Privacy Rooms Customer Service Survey (NIAID)	Form and Instruction
1 privacy room survey Screenshots Privacy Survey v2.pdf	Form and Instruction
OMB_generic_clearance_EPRTACFL.2019 (1).doc Enhanced Privacy Rooms Customer Service fast track	IC Document
Survey Invitation&Reminder.EnhancedPrivacyRooms.docx Invitation and Reminder email	IC Document

IC Title:

Enhanced Privacy Rooms Customer Service 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	privacy room survey	Screenshots Privacy Survey v2.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 619

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	619	619
Annual IC Time Burden (Hours)	103	103
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Enhanced Privacy Rooms Customer Service fast track	OMB_generic_clearance_EPRTACFL.2019 (1).doc	04/25/2019
Invitation and Reminder email	Survey Invitation&Reminder.EnhancedPrivacyRooms.docx	04/25/2019

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