Pathways to Prevention - Non-profit

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

⚠️ Notice: This information collection may be referencing outdated material.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 Pathways to Prevention - Non-profit Form
1 P2P Survey screenshots 2016.2.9. P2P Survey Screen Shots.OMB.final.docx Form
1 P2P Survey screenshots 2016.2.9. P2P Survey Screen Shots.OMB.final.docx Form
Fast Track Template - Pathways to Prevention_revised_NonProfit.doc ODP Pathways to Prevention - Nonprofit IC Document
Fast Track Template - Pathways to Prevention_revised_NonProfit.doc ODP Pathways to Prevention - Nonprofit IC Document

Information Collection (IC) Details

IC Title:	Pathways to Prevention - Non-profit	Agency IC Tracking Number:

IC Status: Unchanged

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	1	P2P Survey screenshots	2016.2.9. P2P Survey Screen Shots.OMB.final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ODP Pathways to Prevention - Nonprofit	Fast Track Template - Pathways to Prevention_revised_NonProfit.doc	02/16/2018

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