Information Collection

ClinRegs Pop-up Survey Questions (NIAID)

IC 243302 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⚠️ Notice: This information collection may be referencing outdated material.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 ClinRegs Pop-up Survey Questions (NIAID)	Form
1 Survey Mock-up Survey Mock Up for PRA Submission-08-21-20.pdf	Form
Fast Track Template 2020-Pop-up survey for submission_08-21-20.docx fast track 2020 Pop-up survey	IC Document

IC Title:

ClinRegs Pop-up Survey Questions (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	Survey Mock-up	Survey Mock Up for PRA Submission-08-21-20.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

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	10,000	10,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track 2020 Pop-up survey	Fast Track Template 2020-Pop-up survey for submission_08-21-20.docx	08/25/2020

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