Information Collection

Neuroimmunological Diseases Section (NDS) patient satisfaction survey (NIAID)

IC 241910 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.