OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Change Readiness Survey (ORS/OD)

IC 237354 under ICR 202102-0925-005 · OMB 0925-0648.

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)

Change Readiness Survey (ORS/OD)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 6700B Phase 2 Change Readiness Survey screenshots BMoss-NIH 6700B Phase 2 Change Readiness Survey-Screenshots.docx Yes Yes Fillable Fileable

Health Health Care Services

 

110 0
   
Individuals or Households
 
   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 110 0 0 0 0 110
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
6700 Phase 2 Change Readiness Survey fast track BMoss- 6700B Phase 2-Change ReadinessSurvey.docx 08/13/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.