Information Collection

National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form (NIMH)

IC 246418 under ICR 202103-0925-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form (NIMH)	Form
1 Professional Coalition for Research Progress Assessment NIMH Professional Coalition for Research Progress Meeting Assessment Form .docx	Form
1 Professional Coalition for Research Progress Assessment NIMH Professional Coalition for Research Progress Meeting Assessment Form .docx	Form
Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH Coalition Meeting) (3).docx fast track for National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form	IC Document
Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH Coalition Meeting) (3).docx fast track for National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form	IC Document

IC Title:

National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form (NIMH)

Agency IC Tracking Number:

IC Status: New

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	1	Professional Coalition for Research Progress Assessment form	NIMH Professional Coalition for Research Progress Meeting Assessment Form .docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 65

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form	Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH Coalition Meeting) (3).docx	03/24/2021

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