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2018 NLM SIS Emerging Adults Health Needs Assessment
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 230666
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202104-0925-001
IC 230666
( )
⚠️ Notice: This information collection may be referencing outdated material.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
2018 NLM SIS Emerging Adults Health Needs Assessment
Form and Instruction
1 SIS Emerging Adults Focus Group Survey
SIS Emerging Adults Focus Group Survey Instrument.docx
Form and Instruction
1 SIS Emerging Adults Focus Group Survey
SIS Emerging Adults Focus Group Survey Instrument.docx
Form and Instruction
NLM Fast track_2018 NLM SIS Emerging Adults Health Needs Assessment.doc
2018 NLM SIS Emerging Adults Health Needs Assessment
IC Document
NLM Fast track_2018 NLM SIS Emerging Adults Health Needs Assessment.doc
2018 NLM SIS Emerging Adults Health Needs Assessment
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2018 NLM SIS Emerging Adults Health Needs Assessment
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 and Instruction
1
SIS Emerging Adults Focus Group Survey
SIS Emerging Adults Focus Group Survey Instrument.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
127
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
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
127
0
0
0
0
127
Annual IC Time Burden (Hours)
57
0
0
0
0
57
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2018 NLM SIS Emerging Adults Health Needs Assessment
NLM Fast track_2018 NLM SIS Emerging Adults Health Needs Assessment.doc
03/12/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.