Form 1 NIBIB Web Placement Survey

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

NIBIB Web Placement Survey with burden statement

Website Survey for Website Satisfaction Rating (NIBIB)

OMB: 0925-0648

Document [pdf]
Download: pdf | pdf
Did you find this page helpful?

Yes

No

Form Approved OMB# 0925-0648 Exp. Date 5/2021
Public reporting burden for this collection of information is
estimated to average two minutes per response, including the
time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not
conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB
control number. Send comments regarding this burden estimate
or any other aspect of this collection of information, including
suggestions for reducing this burden, to: NIH, Project Clearance
Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 208927974, ATTN: PRA (0925-0648). Do not return the completed form
to this address.

Intercept Survey Decision Tree Flow

I did not find this page helpful because the
content on the page (check all that apply): 

What can we do to improve this page? 

Did you find this page helpful?
Had too little information 

Yes

We welcome your feedback

Had too much information 

No

Was confusing

No

Form Approved OMB# 0925-0648 Exp. Date 5/2021

Was out-of-date

Public reporting burden for this collection of information is
estimated to average two minutes per response, including the
time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not
conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB
control number. Send comments regarding this burden estimate
or any other aspect of this collection of information, including
suggestions for reducing this burden, to: NIH, Project Clearance
Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 208927974, ATTN: PRA (0925-0648). Do not return the completed form
to this address.

Something different

Next Question

Next Question
Form Approved OMB# 0925-0648 Exp. Date 5/2021

Form Approved OMB# 0925-0648 Exp. Date 5/2021

Yes

What was your main reason for 
visiting the NIBIB website today?

Which of the following best describes
you?
Academic/Researcher

To learn about funding opportunities
To learn more about biomedical
technology (such as medical imaging
and bioengineering) 

Educator/Teacher (K-12)
Government Employee
NIBIB Grantee

Window closing in 3 seconds

Healthcare Professional

To find a biomedical technology
meeting or event 

Media/Journalist

For school research

Parent/Caretaker

Other

Student (K-12)

Public Health/Policy Professional

Student (College/Graduate School)
Other

Next Question
Form Approved OMB# 0925-0648 Exp. Date 5/2021

Submit
Form Approved OMB# 0925-0648 Exp. Date 5/2021

Thank you for taking the time to answer our questions!


File Typeapplication/pdf
File TitleNIBIB
AuthorMoqups (https://app.moqups.com)
File Modified2020-01-10
File Created2020-01-10

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