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Participant Feedb ack on 2019 NIH Common Fund Peripheral Activity to Relieve Conditions (SPARC) Meeting (OSC/OD)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 237966
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202104-0925-001
IC 237966
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Participant Feedb ack on 2019 NIH Common Fund Peripheral Activity to Relieve Conditions (SPARC) Meeting (OSC/OD)
Form
1 2019 SPARC Survey
2019 SPARC Survey Monkey.pdf
Form
1 2019 SPARC Survey
2019 SPARC Survey Monkey.pdf
Form
OSC revised OMB-PRA Fast Track_2019 SPARC Symposium Survey.docx
Fast track 2019 SPARC Symposium Survey
IC Document
OSC revised OMB-PRA Fast Track_2019 SPARC Symposium Survey.docx
Fast track 2019 SPARC Symposium Survey
IC Document
2019 SPARC Survey email.docx
email invite
IC Document
2019 SPARC Survey email.docx
email invite
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Participant Feedb ack on 2019 NIH Common Fund Peripheral Activity to Relieve Conditions (SPARC) Meeting (OSC/OD)
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
2019 SPARC Survey
2019 SPARC Survey Monkey.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:
217
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
217
0
0
0
0
217
Annual IC Time Burden (Hours)
18
0
0
0
0
18
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast track 2019 SPARC Symposium Survey
OSC revised OMB-PRA Fast Track_2019 SPARC Symposium Survey.docx
10/02/2019
email invite
2019 SPARC Survey email.docx
10/02/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.