Information Collection

The Annual NIH Pain consortium Symposium Feedback

IC 230111 under ICR 202102-0925-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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 The Annual NIH Pain consortium Symposium Feedback	Form
1 Pain 2015 Survey Monkey PainC2015SurveyMonkey.pdf	Form
1 Pain 2015 Survey Monkey PainC2015SurveyMonkey.pdf	Form
NINDSFastTrackPainC2015 final.doc NINDS Fast Track PainC2015	IC Document
NINDSFastTrackPainC2015 final.doc NINDS Fast Track PainC2015	IC Document

IC Title:

The Annual NIH Pain consortium Symposium Feedback

Agency IC Tracking Number:

IC Status: Unchanged

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	Pain 2015 Survey Monkey	PainC2015SurveyMonkey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NINDS Fast Track PainC2015	NINDSFastTrackPainC2015 final.doc	02/14/2018

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