Information Collection

NIH Rockledge I/II Phase I-Post-Occupancy CM Survey (ORS/OD)

IC 238616 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⚠️ Notice: This information collection may be referencing outdated material.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 NIH Rockledge I/II Phase I-Post-Occupancy CM Survey (ORS/OD)	Form and Instruction
1 Rockledge Ph1 Post Occ CM Survey 11122019_Rockledge_Ph1 Post Occ CM Survey_Screenshots.pdf	Form and Instruction
1 Rockledge Ph1 Post Occ CM Survey 11122019_Rockledge_Ph1 Post Occ CM Survey_Screenshots.pdf	Form and Instruction
112019-BMoss-Request-NIH Rockledge-Phase 1-Post-Occupancy CM Survey (003) (002) (2).docx Fast track NIH Rockledge Phase 1 Post Occupancy CM Survey	IC Document
112019-BMoss-Request-NIH Rockledge-Phase 1-Post-Occupancy CM Survey (003) (002) (2).docx Fast track NIH Rockledge Phase 1 Post Occupancy CM Survey	IC Document
PostOccSurveyCommunication_2019_11_12.docx email invite	IC Document
PostOccSurveyCommunication_2019_11_12.docx email invite	IC Document

IC Title:

NIH Rockledge I/II Phase I-Post-Occupancy CM Survey (ORS/OD)

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	Rockledge Ph1 Post Occ CM Survey	11122019_Rockledge_Ph1 Post Occ CM Survey_Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast track NIH Rockledge Phase 1 Post Occupancy CM Survey	112019-BMoss-Request-NIH Rockledge-Phase 1-Post-Occupancy CM Survey (003) (002) (2).docx	11/20/2019
email invite	PostOccSurveyCommunication_2019_11_12.docx	11/20/2019

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