BRAIN Explorer Feedback Survey (NINDS)

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⚠️ Notice: This information collection may be referencing outdated material.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 BRAIN Explorer Feedback Survey (NINDS) Form and Instruction
1 BRAIN explorer survey screenshots BRAIN Explorer Survey Screenshot.pdf Form and Instruction
1 BRAIN explorer survey screenshots BRAIN Explorer Survey Screenshot.pdf Form and Instruction
Fast Track Template BRAIN Explorer Survey_08.10.2020.docx fast track BRAIN Explorer survey IC Document
Fast Track Template BRAIN Explorer Survey_08.10.2020.docx fast track BRAIN Explorer survey IC Document

Information Collection (IC) Details

IC Title:	BRAIN Explorer Feedback Survey (NINDS)	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	BRAIN explorer survey screenshots	BRAIN Explorer Survey Screenshot.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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	1,000	1,000
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track BRAIN Explorer survey	Fast Track Template BRAIN Explorer Survey_08.10.2020.docx	08/10/2020

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