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Office of Intramural Training & Education (OITE) – Postbaccalaureate Training Program (PBT) - Feedback (OD)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 246548
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202103-0925-003
IC 246548
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:
2024-06-25 - Extension without change of a currently approved collection
2023-08-25 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Office of Intramural Training & Education (OITE) – Postbaccalaureate Training Program (PBT) - Feedback (OD)
Form
1 PBT feedback form
OITE-PBT-Feedback.pdf
Form
1 PBT feedback form
OITE-PBT-Feedback.pdf
Form
0925-0648-PBT-Feedback-v02.docx
Office of Intramural Training & Education (OITE) – Postbaccalaureate Training Program (PBT) - Feedback
IC Document
0925-0648-PBT-Feedback-v02.docx
Office of Intramural Training & Education (OITE) – Postbaccalaureate Training Program (PBT) - Feedback
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Office of Intramural Training & Education (OITE) – Postbaccalaureate Training Program (PBT) - Feedback (OD)
Agency IC Tracking Number:
IC Status:
New
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
PBT feedback form
OITE-PBT-Feedback.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
900
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
900
0
900
0
0
0
Annual IC Time Burden (Hours)
300
0
300
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Office of Intramural Training & Education (OITE) – Postbaccalaureate Training Program (PBT) - Feedback
0925-0648-PBT-Feedback-v02.docx
04/01/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.