National Institute of Mental Health (NIMH) Core Facility User Survey

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

OMB: 0925-0648

IC ID: 231930

Information Collection (IC) Details

View Information Collection (IC)

National Institute of Mental Health (NIMH) Core Facility User Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 NIMH Core User Survey template NIMH Core User Survey Template 6.21.2018.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

85 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 85 0 0 0 0 85
Annual IC Time Burden (Hours) 9 0 0 0 0 9
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
National Institute of Mental Health (NIMH) Core Facility User Survey fast track Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH Core Facility User Survey2).docx 06/25/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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