Enhanced Privacy Rooms Customer Service Survey (NIAID)

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.