Information Collection

NIH Library Customer Satisfaction Survey

IC 230716 under ICR 202104-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 NIH Library Customer Satisfaction Survey	Form and Instruction
1 Survey with Burden Disclosure Statement SURVEY~1.DOC	Form and Instruction
1 Survey with Burden Disclosure Statement SURVEY~1.DOC	Form and Instruction
Customer Satisfaction survey May 2018 OMB clearance request (2).doc Customer Satisfaction Survey	IC Document
Customer Satisfaction survey May 2018 OMB clearance request (2).doc Customer Satisfaction Survey	IC Document

IC Title:

NIH Library Customer Satisfaction Survey

Agency IC Tracking Number:

IC Status: Unchanged

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 and Instruction	1	Survey with Burden Disclosure Statement	SURVEY~1.DOC		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Customer Satisfaction Survey	Customer Satisfaction survey May 2018 OMB clearance request (2).doc	03/15/2018

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