Editing Service Customer Feedback Survey (NIHL)

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⚠️ Notice: This information collection may be referencing outdated material.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 Editing Service Customer Feedback Survey (NIHL) Form
1 Survey Survey.pdf Form
1 Survey Survey.pdf Form
Fast Track NIHL Editing Survey.docx Fast track NIHL Editing Survey IC Document
Fast Track NIHL Editing Survey.docx Fast track NIHL Editing Survey IC Document

Information Collection (IC) Details

IC Title:	Editing Service Customer Feedback Survey (NIHL)	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	Survey	Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track NIHL Editing Survey	Fast Track NIHL Editing Survey.docx	10/23/2018

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