Information Collection

Overall Feedback Results for NIH Regional Seminar – Fall 2019

IC 238336 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⚠️ Notice: This information collection may be referencing outdated material.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 Overall Feedback Results for NIH Regional Seminar – Fall 2019	Form and Instruction
1 Overall Feedback Overall Feedback_Final.docx	Form and Instruction
2019 fast Track Template - Overall Feedback.doc Fast-Track Template	IC Document

IC Title:

Overall Feedback Results for NIH Regional Seminar â Fall 2019

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 and Instruction	1	Overall Feedback	Overall Feedback_Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 268

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	268	268
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast-Track Template	2019 fast Track Template - Overall Feedback.doc	10/30/2019

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