HMD 2018 Traveling Exhibition Host Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 HMD 2018 Traveling Exhibition Host Survey Form
1 NLM HMD 2018 Traveling Exhibition Host Survey Sample Instrument_NLM HMD 2018 Traveling Exhibition Host Survey.pdf Form
1 NLM HMD 2018 Traveling Exhibition Host Survey Sample Instrument_NLM HMD 2018 Traveling Exhibition Host Survey.pdf Form
NLM Fast Track ICR_HMD 2018 Traveling Exhibition Host Survey.docx NLM Fast Track HMD 2018 Traveling Exhibition Host Survey IC Document
NLM Fast Track ICR_HMD 2018 Traveling Exhibition Host Survey.docx NLM Fast Track HMD 2018 Traveling Exhibition Host Survey IC Document

Information Collection (IC) Details

IC Title:	HMD 2018 Traveling Exhibition Host Survey	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	1	NLM HMD 2018 Traveling Exhibition Host Survey	Sample Instrument_NLM HMD 2018 Traveling Exhibition Host Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NLM Fast Track HMD 2018 Traveling Exhibition Host Survey	NLM Fast Track ICR_HMD 2018 Traveling Exhibition Host Survey.docx	06/13/2018

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