Neuroimmunological Diseases Section (NDS) patient satisfaction 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⚠️ Notice: This information collection may be referencing outdated material.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 Neuroimmunological Diseases Section (NDS) patient satisfaction survey (NIAID) Form
1 NDS Survey screenshot NDS Survey Screenshots.docx Form
Fast Track Application-NDSpatientSatisfation complete_Revised.docx Fast track NDS Application patient satisfaction survey IC Document
Neuroimmunological Diseases Section (NDS) patient satisfaction survey invitation email.docx NDS email invitation IC Document

Information Collection (IC) Details

IC Title:	Neuroimmunological Diseases Section (NDS) patient satisfaction 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	1	NDS Survey screenshot	NDS Survey Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,640	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,640	2,640
Annual IC Time Burden (Hours)	440	440
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track NDS Application patient satisfaction survey	Fast Track Application-NDSpatientSatisfation complete_Revised.docx	05/20/2020
NDS email invitation	Neuroimmunological Diseases Section (NDS) patient satisfaction survey invitation email.docx	05/20/2020

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