Information Collection

Information Request from Visitors at the NIH Center for Scientific Reviews' Information Booth (CSR)

IC 237771 under ICR 201906-0925-001 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Information Request from Visitors at the NIH Center for Scientific Reviews' Information Booth (CSR)	Form
1 Question Box cards Question Box Cards (003).docx	Form
Fast Track Template 2019 CSR Outreach Survey.doc Fast Track template for 2019 Outreach survey	IC Document

IC Title:

Information Request from Visitors at the NIH Center for Scientific Reviews' Information Booth (CSR)

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	Question Box cards	Question Box Cards (003).docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track template for 2019 Outreach survey	Fast Track Template 2019 CSR Outreach Survey.doc	09/17/2019

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