Information Collection

National Institutes of Health (NIH) Center for Information Technology (CIT) Town Hall Discovery Focus Groups

IC 262040 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⚠️ Notice: This information collection may be referencing outdated material.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 Focus Group National Institutes of Health (NIH) Center for Information Technology (CIT) Town Hall Discovery Focus Groups	Form
1 Focus Group OMB Clearance_NIH CIT Town Hall Focus Groups_Data Collection Instrument Attachment.docx	Form
OMB Clearance_ NIH CIT Town Hall Focus Groups.docx Template	IC Document
OMB Clearance_NIH CIT Town Hall Focus Groups Additional Supporting Documentation.docx Email Correspondence	IC Document

IC Title:

National Institutes of Health (NIH) Center for Information Technology (CIT) Town Hall Discovery Focus Groups

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				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template		09/05/2023
Email Correspondence		09/05/2023

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

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