Health Disparities Research Institute (HDRI) Course Assessment (NIMHD)

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

OMB: 0925-0648

IC ID: 237252

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Health Disparities Research Institute (HDRI) Course Assessment (NIMHD)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 2019 HDRI Final Course Assessment 2019 HDRI Final Course Assessment 8.5.19.docx Yes Yes Fillable Fileable

Health Health Care Services

 

55 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 55 0 0 0 0 55
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
2019 HDRI Course Assessment Fast Track 2019 HDRI Fast Track Template.doc 08/05/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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