Information Collection

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

IC 246424 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⚠️ Notice: This information collection may be referencing outdated material.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 NIMH Clinical Research Education, Support, and Training (CREST) Program Customer Satisfaction Survey (NIMH)	Form
Form 1 CREST survey NIMH Clinical Research Education, Support, and Training (CREST) Program Customer Satisfaction Survey (NIMH)	Form
1 CREST survey CREST Program Survey (1).docx	Form
1 CREST survey CREST Program Survey (1).docx	Form
Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH CREST Program Survey_110519) (1).docx fast track for CREST	IC Document
Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH CREST Program Survey_110519) (1).docx fast track for CREST	IC Document

IC Title:

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

Private Sector: Businesses or other for-profits, 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	200	200
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for CREST	Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH CREST Program Survey_110519) (1).docx	03/24/2021

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