Change Readiness Survey (OD)

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

OMB: 0925-0648

IC ID: 233574

Information Collection (IC) Details

View Information Collection (IC)

Change Readiness Survey (OD)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 ChangeReadiness Survey screenshot 101118-Rock I_II-ChangeReadinessSurvey_Screen Shots.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,150 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,150 0 0 0 0 2,150
Annual IC Time Burden (Hours) 179 0 0 0 0 179
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ChangeReadiness Survey fast track 101618-BMoss-Request-ChangeReadinessSurvey.docx 10/16/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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