Information Collection

Overall Feedback Results for NIH Regional Seminar – Fall 2019

IC 238336 under ICR 202102-0925-005 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Overall Feedback Results for NIH Regional Seminar – Fall 2019	Form and Instruction
1 Overall Feedback Overall Feedback_Final.docx	Form and Instruction
1 Overall Feedback Overall Feedback_Final.docx	Form and Instruction
2019 fast Track Template - Overall Feedback.doc Fast-Track Template	IC Document
2019 fast Track Template - Overall Feedback.doc Fast-Track Template	IC Document

IC Title:

Overall Feedback Results for NIH Regional Seminar â Fall 2019

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Overall Feedback	Overall Feedback_Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 268

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	268	268
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast-Track Template	2019 fast Track Template - Overall Feedback.doc	10/30/2019

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