Information Collection

NIH ODSS STRIDES Initiative Baseline Survey (OD/SPCCR)

IC 241285 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 NIH ODSS STRIDES Initiative Baseline Survey (OD/SPCCR) Form and Instruction
1 STRIDES Baseline Survey STRIDES Baseline Survey.pdf Form and Instruction
STRIDES Baseline Survey Emails (1).docx STRIDES Baseline emails IC Document
STRIDES Baseline Survey.docx STRIDES Baseline Survey fast track IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NIH ODSS STRIDES Initiative Baseline Survey (OD/SPCCR)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	STRIDES Baseline Survey	STRIDES Baseline Survey.pdf		Yes	Yes	Fillable Fileable

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: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
STRIDES Baseline emails	STRIDES Baseline Survey Emails (1).docx	04/09/2020
STRIDES Baseline Survey fast track	STRIDES Baseline Survey.docx	04/09/2020

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