Information Collection

NIH Return to the Physical Workspaces: Group C Pulse Check (OD/WSDD/OHR)

IC 243529 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 NIH Return to the Physical Workspaces: Group C Pulse Check (OD/WSDD/OHR) Form
1 NIH Return to Physical Workspaces Group C Pulse Check NIH Return to the Physical Workspaces Group C Pulse Check Screenshots (1).docx Form
1 NIH Return to Physical Workspaces Group C Pulse Check NIH Return to the Physical Workspaces Group C Pulse Check Screenshots (1).docx Form
Fast Track Clearance Application_NIH Return to the Physical Workspaces Group C Pulse Check.docx fast track application for NIH Return to Physical Workspaces for Group C Pulse Check IC Document
Fast Track Clearance Application_NIH Return to the Physical Workspaces Group C Pulse Check.docx fast track application for NIH Return to Physical Workspaces for Group C Pulse Check IC Document
NIH_Return_to_the_Physical_Worksites Survey (3).docx NIH Return to Physical Workspaces for Group C Pulse Check IC Document
NIH_Return_to_the_Physical_Worksites Survey (3).docx NIH Return to Physical Workspaces for Group C Pulse Check IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NIH Return to the Physical Workspaces: Group C Pulse Check (OD/WSDD/OHR)	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	1	NIH Return to Physical Workspaces Group C Pulse Check	NIH Return to the Physical Workspaces Group C Pulse Check Screenshots (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: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track application for NIH Return to Physical Workspaces for Group C Pulse Check	Fast Track Clearance Application_NIH Return to the Physical Workspaces Group C Pulse Check.docx	09/08/2020
NIH Return to Physical Workspaces for Group C Pulse Check	NIH_Return_to_the_Physical_Worksites Survey (3).docx	09/08/2020

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