Survey for Health Professionals and Community Leaders (NIAAA)

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

OMB: 0925-0648

IC ID: 242426

Information Collection (IC) Details

View Information Collection (IC)

Survey for Health Professionals and Community Leaders (NIAAA)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Qualtrics Survey Screenshots HCP survey Qualtrics Survey Screenshots_hcp survey (2).docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,000 0
   
Individuals or Households
 
   100 %

  Approved 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 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 83 0 83 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast track sub-study HCP survey NIAAA_OMB_Fast_Track_Form_hcp_survey_2.docx 06/24/2020
Appendix A email from Partners Appendix A email from partners .docx 06/24/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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