Clinical Research Education, Support, and Training (CREST) Program Customer Satisfaction Survey (NIMH)

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⚠️ Notice: This information collection may be referencing outdated material.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 Clinical Research Education, Support, and Training (CREST) Program Customer Satisfaction Survey (NIMH) Form and Instruction
1 CREST program survey CREST Program Survey (1).docx Form and Instruction
1 CREST program survey CREST Program Survey (1).docx Form and Instruction
Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH CREST Program Survey_110519).docx Fast track request CREST Program survey IC Document
Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH CREST Program Survey_110519).docx Fast track request CREST Program survey IC Document

Information Collection (IC) Details

IC Title:	Clinical Research Education, Support, and Training (CREST) Program Customer Satisfaction Survey (NIMH)	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 and Instruction	1	CREST program survey	CREST Program Survey (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	200	200
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track request CREST Program survey	Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH CREST Program Survey_110519).docx	11/05/2019

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